Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,391.01 / $6,403.95 / $7,725.86	Professional		$4,391.01	$6,403.95	$7,725.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,470.13 / $5,470.13 / $5,470.13	Facility		$5,470.13	$5,470.13	$5,470.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,643.75 / $8,730.19 / $10,804.69	Professional		$8,643.75	$8,730.19	$10,804.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,969.67 / $7,602.76 / $17,546.82	Facility		$4,969.67	$7,602.76	$17,546.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,906.17 / $3,812.33 / $5,459.10	Professional		$1,906.17	$3,812.33	$5,459.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,025.90 / $1,032.88 / $1,032.88	Facility		$1,025.90	$1,032.88	$1,032.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,025.90 / $1,952.81 / $10,692.42	Professional		$1,025.90	$1,952.81	$10,692.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,906.17 / $2,763.88 / $5,459.10	Professional		$1,906.17	$2,763.88	$5,459.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8,450.82 / $8,450.82 / $8,450.82	Professional		$8,450.82	$8,450.82	$8,450.82