Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,548.82	Professional		$1,000.00	$1,230.27	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,445.44	Facility		$1,047.13	$1,047.13	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,698.24 / $2,089.30	Professional		$1,659.59	$1,698.24	$2,089.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,949.84 / $7,585.78	Facility		$169.82	$1,949.84	$7,585.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $1,288.25	Professional		$575.44	$707.95	$1,288.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,412.54	Professional		$1,174.90	$1,380.38	$1,412.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,445.44	Professional		$575.44	$794.33	$1,445.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56