Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,514.14 / $4,136.85 / $4,136.85	Professional		$3,514.14	$4,136.85	$4,136.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,671.66 / $2,671.66 / $2,671.66	Facility		$2,671.66	$2,671.66	$2,671.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,515.00 / $4,560.14 / $5,643.75	Professional		$4,515.00	$4,560.14	$5,643.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.48 / $4,264.28 / $9,628.74	Facility		$389.48	$4,264.28	$9,628.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,056.74 / $2,113.46 / $2,941.04	Professional		$1,056.74	$2,113.46	$2,941.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $562.98 / $566.74 / $566.74	Facility		$562.98	$566.74	$566.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $562.98 / $1,071.90 / $5,867.69	Professional		$562.98	$1,071.90	$5,867.69
United Facility/Professional Professional Modifier Low / Median / High Price $882.48 / $1,838.15 / $2,941.04	Professional		$882.48	$1,838.15	$2,941.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,636.97 / $4,636.97 / $4,636.97	Professional		$4,636.97	$4,636.97	$4,636.97