Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,841.81 / $3,991.82 / $4,691.99	Professional		$2,841.81	$3,991.82	$4,691.99
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 $5,073.75 / $5,124.49 / $6,342.19	Professional		$5,073.75	$5,124.49	$6,342.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,916.93 / $4,920.35 / $10,937.59	Facility		$2,916.93	$4,920.35	$10,937.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,118.80 / $2,237.60 / $3,405.62	Professional		$1,118.80	$2,237.60	$3,405.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $639.54 / $643.74 / $643.74	Facility		$639.54	$643.74	$643.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $639.54 / $1,217.89 / $6,665.63	Professional		$639.54	$1,217.89	$6,665.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,118.80 / $2,128.51 / $3,405.62	Professional		$1,118.80	$2,128.51	$3,405.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,266.98 / $5,266.98 / $5,266.98	Professional		$5,266.98	$5,266.98	$5,266.98