Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.60 / $575.60 / $575.60	Facility		$575.60	$575.60	$575.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.48 / $489.26 / $575.60	Professional		$460.48	$489.26	$575.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.75 / $522.75 / $653.44	Professional		$522.75	$522.75	$653.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $508.43 / $807.40 / $1,036.08	Facility		$508.43	$807.40	$1,036.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.60 / $640.76 / $640.76	Professional		$575.60	$640.76	$640.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $645.16 / $925.51 / $2,595.62	Facility		$645.16	$925.51	$2,595.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $548.09 / $597.91 / $645.16	Professional		$548.09	$597.91	$645.16
United Facility/Professional Professional Modifier Low / Median / High Price $575.60 / $575.60 / $640.76	Professional		$575.60	$575.60	$640.76
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $528.86 / $528.86 / $528.86	Facility		$528.86	$528.86	$528.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $528.86 / $528.86 / $528.86	Professional		$528.86	$528.86	$528.86