Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,786.82 / $2,413.26 / $2,413.26	Professional		$1,786.82	$2,413.26	$2,413.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,450.41 / $1,450.41 / $2,152.48	Facility		$1,450.41	$1,450.41	$2,152.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,030.00 / $3,030.00 / $3,787.50	Professional		$3,030.00	$3,030.00	$3,787.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $261.39 / $3,019.73 / $11,728.00	Facility		$261.39	$3,019.73	$11,728.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $899.36 / $1,770.39 / $1,968.95	Professional		$899.36	$1,770.39	$1,968.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $239.07 / $287.52 / $287.52	Facility		$239.07	$287.52	$287.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $275.62 / $528.26 / $2,987.95	Professional		$275.62	$528.26	$2,987.95
United Facility/Professional Professional Modifier Low / Median / High Price $882.25 / $1,283.34 / $2,636.99	Professional		$882.25	$1,283.34	$2,636.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,352.51 / $2,352.51 / $2,352.51	Professional		$2,352.51	$2,352.51	$2,352.51