Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,892.58 / $6,608.22 / $6,608.22	Professional		$4,892.58	$6,608.22	$6,608.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,106.14 / $5,106.14 / $5,106.14	Facility		$5,106.14	$5,106.14	$5,106.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,298.75 / $8,381.74 / $10,373.44	Professional		$8,298.75	$8,381.74	$10,373.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $543.05 / $11,826.99 / $33,203.46	Facility		$543.05	$11,826.99	$33,203.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,110.54 / $3,486.60 / $4,221.00	Professional		$2,110.54	$3,486.60	$4,221.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $785.03 / $787.33 / $787.33	Facility		$785.03	$787.33	$787.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $785.03 / $1,504.56 / $8,181.87	Professional		$785.03	$1,504.56	$8,181.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,873.42 / $2,440.62 / $4,221.00	Professional		$1,873.42	$2,440.62	$4,221.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,441.75 / $6,441.75 / $6,441.75	Professional		$6,441.75	$6,441.75	$6,441.75