Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.05 / $336.05 / $3,694.91	Professional		$336.05	$336.05	$3,694.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.10 / $413.10 / $413.10	Facility		$413.10	$413.10	$413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $757.50 / $937.50	Professional		$750.00	$757.50	$937.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $374.50 / $6,244.40 / $10,124.04	Facility		$374.50	$6,244.40	$10,124.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $948.28 / $948.28 / $948.28	Professional		$948.28	$948.28	$948.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,072.23 / $1,072.23 / $1,072.23	Facility		$1,072.23	$1,072.23	$1,072.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $948.28 / $948.28 / $948.28	Professional		$948.28	$948.28	$948.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $713.74 / $713.74 / $713.74	Professional		$713.74	$713.74	$713.74