Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.52 / $553.52 / $553.52	Facility		$553.52	$553.52	$553.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.52 / $630.98 / $852.24	Professional		$553.52	$630.98	$852.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $760.17 / $760.17 / $760.17	Facility		$760.17	$760.17	$760.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,068.75 / $1,068.75 / $1,335.94	Professional		$1,068.75	$1,068.75	$1,335.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.39 / $1,066.35 / $4,141.80	Facility		$64.39	$1,066.35	$4,141.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $312.58 / $453.22 / $931.28	Professional		$312.58	$453.22	$931.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $84.44 / $101.53 / $186.63	Facility		$84.44	$101.53	$186.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $84.44 / $105.17 / $1,055.19	Professional		$84.44	$105.17	$1,055.19
United Facility/Professional Professional Modifier Low / Median / High Price $311.57 / $434.60 / $695.35	Professional		$311.57	$434.60	$695.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $876.85 / $876.85 / $876.85	Professional		$876.85	$876.85	$876.85