Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Professional		$450.00	$450.00	$450.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.00 / $441.00 / $441.00	Facility		$441.00	$441.00	$441.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.90 / $441.90 / $552.38	Professional		$441.90	$441.90	$552.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $643.50 / $760.50 / $1,233.00	Facility		$643.50	$760.50	$1,233.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $438.30 / $595.69 / $963.98	Professional		$438.30	$595.69	$963.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $552.85 / $674.91 / $798.24	Facility		$552.85	$674.91	$798.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $540.45 / $706.52 / $982.29	Professional		$540.45	$706.52	$982.29
United Facility/Professional Professional Modifier Low / Median / High Price $502.41 / $819.39 / $963.98	Professional		$502.41	$819.39	$963.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $450.50 / $450.50 / $450.50	Professional		$450.50	$450.50	$450.50