Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.29 / $503.29 / $3,351.96	Professional		$503.29	$503.29	$3,351.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.80 / $397.80 / $397.80	Facility		$397.80	$397.80	$397.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.80 / $397.80 / $397.80	Professional		$397.80	$397.80	$397.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $394.10 / $5,664.81 / $9,184.37	Facility		$394.10	$5,664.81	$9,184.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $956.93 / $956.93 / $956.93	Professional		$956.93	$956.93	$956.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $797.73 / $797.73 / $797.73	Facility		$797.73	$797.73	$797.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $956.93 / $956.93 / $956.93	Professional		$956.93	$956.93	$956.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $720.24 / $720.24 / $720.24	Professional		$720.24	$720.24	$720.24