Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,897.48 / $3,818.00 / $3,818.00	Professional		$2,897.48	$3,818.00	$3,818.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,672.64 / $2,672.64 / $4,675.53	Facility		$2,672.64	$2,672.64	$4,675.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,729.50 / $4,776.80 / $5,911.88	Professional		$4,729.50	$4,776.80	$5,911.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,505.68 / $7,939.10 / $19,176.53	Facility		$3,505.68	$7,939.10	$19,176.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,564.71 / $3,129.41 / $3,694.25	Professional		$1,564.71	$3,129.41	$3,694.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $464.03 / $467.56 / $467.56	Facility		$464.03	$467.56	$467.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $464.03 / $882.00 / $4,836.22	Professional		$464.03	$882.00	$4,836.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,564.71 / $2,308.91 / $3,412.13	Professional		$1,564.71	$2,308.91	$3,412.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,825.43 / $3,825.43 / $3,825.43	Professional		$3,825.43	$3,825.43	$3,825.43