Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,104.99 / $4,520.39 / $5,253.71	Professional		$3,104.99	$4,520.39	$5,253.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $2,673.00 / $2,673.00	Facility		$2,673.00	$2,673.00	$2,673.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,756.25 / $5,813.81 / $7,195.31	Professional		$5,756.25	$5,813.81	$7,195.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $496.58 / $5,376.08 / $12,385.87	Facility		$496.58	$5,376.08	$12,385.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,402.84 / $2,805.67 / $3,945.39	Professional		$1,402.84	$2,805.67	$3,945.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $724.15 / $729.07 / $729.07	Facility		$724.15	$729.07	$729.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $724.15 / $1,378.49 / $7,547.51	Professional		$724.15	$1,378.49	$7,547.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,183.41 / $2,465.87 / $3,945.39	Professional		$1,183.41	$2,465.87	$3,945.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,965.11 / $5,965.11 / $5,965.11	Professional		$5,965.11	$5,965.11	$5,965.11