Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.18 / $1,448.35 / $1,448.35	Facility		$690.18	$1,448.35	$1,448.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.18 / $839.19 / $839.19	Professional		$690.18	$839.19	$839.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.75 / $480.75 / $600.94	Professional		$480.75	$480.75	$600.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $268.50 / $1,366.09 / $2,046.89	Facility		$268.50	$1,366.09	$2,046.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,036.18 / $1,036.18 / $1,036.18	Facility		$1,036.18	$1,036.18	$1,036.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $940.94 / $1,036.18 / $1,062.88	Professional		$940.94	$1,036.18	$1,062.88
United Facility/Professional Professional Modifier Low / Median / High Price $525.50 / $525.50 / $525.50	Professional		$525.50	$525.50	$525.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $675.66 / $675.66 / $675.66	Professional		$675.66	$675.66	$675.66