Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.02 / $686.02 / $2,290.00	Facility		$686.02	$686.02	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.02 / $726.79 / $752.15	Professional		$686.02	$726.79	$752.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $610.13 / $651.75 / $814.69	Professional		$610.13	$651.75	$814.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.88 / $752.15 / $1,643.00	Facility		$346.88	$752.15	$1,643.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $678.71 / $1,429.95 / $2,258.19	Professional		$678.71	$1,429.95	$2,258.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $515.41 / $1,060.84 / $1,511.99	Facility		$515.41	$1,060.84	$1,511.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,060.84 / $1,429.95 / $1,614.70	Professional		$1,060.84	$1,429.95	$1,614.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $636.26 / $1,458.26 / $1,911.15	Professional		$636.26	$1,458.26	$1,911.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $735.80 / $891.60 / $891.60	Professional		$735.80	$891.60	$891.60