Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,068.68 / $4,856.21 / $4,856.21	Professional		$4,068.68	$4,856.21	$4,856.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,655.97 / $3,655.97 / $4,901.42	Facility		$3,655.97	$3,655.97	$4,901.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,865.00 / $5,923.65 / $7,331.25	Professional		$5,865.00	$5,923.65	$7,331.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $595.19 / $7,194.89 / $26,705.78	Facility		$595.19	$7,194.89	$26,705.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,565.57 / $3,131.13 / $3,362.45	Professional		$1,565.57	$3,131.13	$3,362.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $481.09 / $578.59 / $652.79	Facility		$481.09	$578.59	$652.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $652.79 / $1,251.16 / $6,012.64	Professional		$652.79	$1,251.16	$6,012.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,506.72 / $3,161.53 / $4,880.43	Professional		$1,506.72	$3,161.53	$4,880.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,733.91 / $4,733.91 / $4,733.91	Professional		$4,733.91	$4,733.91	$4,733.91