Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.21 / $559.21 / $559.21	Facility		$559.21	$559.21	$559.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.14 / $559.21 / $559.21	Professional		$464.14	$559.21	$559.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.29 / $503.29 / $629.11	Professional		$503.29	$503.29	$629.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.02 / $719.70 / $1,379.01	Facility		$137.02	$719.70	$1,379.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.18 / $466.01 / $512.61	Professional		$114.18	$466.01	$512.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.39 / $443.30 / $666.86	Facility		$6.39	$443.30	$666.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $137.02 / $479.03 / $666.86	Professional		$137.02	$479.03	$666.86
United Facility/Professional Professional Modifier Low / Median / High Price $396.11 / $466.01 / $512.61	Professional		$396.11	$466.01	$512.61
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $466.01 / $466.01 / $466.01	Facility		$466.01	$466.01	$466.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $466.01 / $466.01 / $466.01	Professional		$466.01	$466.01	$466.01