Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $446.68	Professional		$371.54	$371.54	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $9,332.54 / $11,748.98	Professional		$4,265.80	$9,332.54	$11,748.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $758.58	Facility		$371.54	$371.54	$758.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $2,818.38	Professional		$2,187.76	$2,818.38	$2,818.38