Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.16 / $859.90 / $859.90	Professional		$606.16	$859.90	$859.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.39 / $369.39 / $1,127.95	Facility		$369.39	$369.39	$1,127.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,046.63 / $1,127.95 / $1,308.28	Professional		$1,046.63	$1,127.95	$1,308.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $743.44 / $1,024.41 / $4,343.22	Facility		$743.44	$1,024.41	$4,343.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $409.01 / $706.53 / $785.80	Professional		$409.01	$706.53	$785.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $97.25 / $112.79 / $112.79	Facility		$97.25	$112.79	$112.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.25 / $186.39 / $1,166.58	Professional		$97.25	$186.39	$1,166.58
United Facility/Professional Professional Modifier Low / Median / High Price $341.64 / $491.13 / $785.80	Professional		$341.64	$491.13	$785.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $922.87 / $922.87 / $922.87	Professional		$922.87	$922.87	$922.87