Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.00 / $795.00 / $795.00	Facility		$795.00	$795.00	$795.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.37 / $1,182.72 / $1,224.04	Professional		$92.37	$1,182.72	$1,224.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,077.00 / $4,117.77 / $5,096.25	Professional		$4,077.00	$4,117.77	$5,096.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.53 / $1,811.71 / $4,782.72	Facility		$97.53	$1,811.71	$4,782.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.58 / $83.64 / $3,117.96	Professional		$38.58	$83.64	$3,117.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $189.53 / $190.65 / $432.54	Facility		$189.53	$190.65	$432.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $189.53 / $196.69 / $2,291.46	Professional		$189.53	$196.69	$2,291.46
United Facility/Professional Professional Modifier Low / Median / High Price $38.58 / $83.64 / $1,165.64	Professional		$38.58	$83.64	$1,165.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,863.19 / $1,863.19 / $1,863.19	Professional		$1,863.19	$1,863.19	$1,863.19