Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.40 / $1,881.25 / $2,486.98	Professional		$933.40	$1,881.25	$2,486.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $2,677.79	Facility		$1,377.00	$1,377.00	$2,677.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.00 / $3,120.90 / $3,862.50	Professional		$3,090.00	$3,120.90	$3,862.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,262.14 / $5,154.63 / $14,590.13	Facility		$2,262.14	$5,154.63	$14,590.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,136.65 / $2,222.60 / $2,600.98	Professional		$1,136.65	$2,222.60	$2,600.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $301.27 / $303.58 / $303.58	Facility		$301.27	$303.58	$303.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $301.27 / $572.62 / $3,140.00	Professional		$301.27	$572.62	$3,140.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,035.52 / $1,919.44 / $2,600.98	Professional		$1,035.52	$1,919.44	$2,600.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,483.82 / $2,483.82 / $2,483.82	Professional		$2,483.82	$2,483.82	$2,483.82