Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $662.76 / $886.77 / $886.77	Professional		$662.76	$886.77	$886.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $458.33 / $458.33 / $915.12	Facility		$458.33	$458.33	$915.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.50 / $1,128.68 / $1,396.88	Professional		$1,117.50	$1,128.68	$1,396.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $962.60 / $1,815.96 / $4,986.09	Facility		$962.60	$1,815.96	$4,986.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.22 / $792.40 / $1,277.47	Professional		$549.22	$792.40	$1,277.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $103.61 / $106.95 / $106.95	Facility		$103.61	$106.95	$106.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $103.61 / $197.73 / $1,106.10	Professional		$103.61	$197.73	$1,106.10
United Facility/Professional Professional Modifier Low / Median / High Price $369.00 / $792.40 / $1,207.40	Professional		$369.00	$792.40	$1,207.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $875.07 / $875.07 / $875.07	Professional		$875.07	$875.07	$875.07