Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,139.93 / $4,866.30 / $4,866.30	Professional		$4,139.93	$4,866.30	$4,866.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,349.85 / $3,349.85 / $3,349.85	Facility		$3,349.85	$3,349.85	$3,349.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,261.25 / $5,313.86 / $6,576.56	Professional		$5,261.25	$5,313.86	$6,576.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,025.40 / $5,102.45 / $11,343.44	Facility		$3,025.40	$5,102.45	$11,343.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,160.44 / $2,320.87 / $3,532.03	Professional		$1,160.44	$2,320.87	$3,532.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $663.27 / $667.63 / $667.63	Facility		$663.27	$667.63	$667.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $663.27 / $1,263.07 / $6,912.90	Professional		$663.27	$1,263.07	$6,912.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,160.44 / $2,031.54 / $3,532.03	Professional		$1,160.44	$2,031.54	$3,532.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,462.46 / $5,462.46 / $5,462.46	Professional		$5,462.46	$5,462.46	$5,462.46