Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,043.53 / $4,191.37 / $4,191.37	Professional		$3,043.53	$4,191.37	$4,191.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,225.05 / $2,225.05 / $3,738.44	Facility		$2,225.05	$2,225.05	$3,738.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,710.29 / $5,261.25 / $6,576.56	Professional		$4,710.29	$5,261.25	$6,576.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $310.24 / $5,143.57 / $20,369.16	Facility		$310.24	$5,143.57	$20,369.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,205.74 / $2,364.92 / $2,564.84	Professional		$1,205.74	$2,364.92	$2,564.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $415.23 / $499.37 / $499.37	Facility		$415.23	$499.37	$499.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $497.91 / $954.31 / $5,189.47	Professional		$497.91	$954.31	$5,189.47
United Facility/Professional Professional Modifier Low / Median / High Price $1,149.22 / $2,364.92 / $4,913.62	Professional		$1,149.22	$2,364.92	$4,913.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,085.73 / $4,085.73 / $4,085.73	Professional		$4,085.73	$4,085.73	$4,085.73