Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,264.20 / $1,672.86 / $1,672.86	Professional		$1,264.20	$1,672.86	$1,672.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $504.00 / $1,803.27	Facility		$504.00	$504.00	$1,803.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,081.25 / $2,102.06 / $2,601.56	Professional		$2,081.25	$2,102.06	$2,601.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,795.40 / $3,463.91 / $9,825.29	Facility		$1,795.40	$3,463.91	$9,825.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,046.50 / $1,495.00 / $2,625.06	Professional		$1,046.50	$1,495.00	$2,625.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $202.46 / $204.01 / $204.01	Facility		$202.46	$204.01	$204.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $202.46 / $384.79 / $2,110.15	Professional		$202.46	$384.79	$2,110.15
United Facility/Professional Professional Modifier Low / Median / High Price $697.24 / $1,241.95 / $2,625.06	Professional		$697.24	$1,241.95	$2,625.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,669.14 / $1,669.14 / $1,669.14	Professional		$1,669.14	$1,669.14	$1,669.14