Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.49 / $785.80 / $829.92	Professional		$526.49	$785.80	$829.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.44 / $455.44 / $654.00	Facility		$455.44	$455.44	$654.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $654.00 / $750.00	Professional		$600.00	$654.00	$750.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $2,243.51 / $2,522.61	Facility		$51.74	$2,243.51	$2,522.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $397.78 / $662.97 / $880.21	Professional		$397.78	$662.97	$880.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $133.03 / $133.72 / $133.72	Facility		$133.03	$133.72	$133.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $133.03 / $253.95 / $1,386.55	Professional		$133.03	$253.95	$1,386.55
United Facility/Professional Professional Modifier Low / Median / High Price $186.68 / $550.13 / $880.21	Professional		$186.68	$550.13	$880.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,094.13 / $1,094.13 / $1,094.13	Professional		$1,094.13	$1,094.13	$1,094.13