Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,659.59 / $4,073.80	Facility		$691.83	$1,659.59	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $691.83 / $1,000.00	Professional		$346.74	$691.83	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $602.56	Professional		$478.63	$478.63	$602.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,258.93 / $2,041.74	Facility		$269.15	$1,258.93	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $660.69	Professional		$524.81	$524.81	$660.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08