Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,979.26 / $7,015.40 / $9,474.95	Professional		$3,979.26	$7,015.40	$9,474.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,488.00 / $4,488.00 / $4,488.00	Facility		$4,488.00	$4,488.00	$4,488.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,898.75 / $12,017.74 / $14,873.44	Professional		$11,898.75	$12,017.74	$14,873.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,424.66 / $6,889.88 / $19,222.20	Facility		$5,424.66	$6,889.88	$19,222.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,413.20 / $4,835.39 / $7,022.00	Professional		$3,413.20	$4,835.39	$7,022.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $938.63 / $938.63 / $2,157.25	Facility		$938.63	$938.63	$2,157.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,169.27 / $2,231.58 / $11,731.28	Professional		$1,169.27	$2,231.58	$11,731.28
United Facility/Professional Professional Modifier Low / Median / High Price $2,271.65 / $3,511.00 / $7,022.00	Professional		$2,271.65	$3,511.00	$7,022.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9,236.25 / $9,236.25 / $9,236.25	Professional		$9,236.25	$9,236.25	$9,236.25