Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $380.19 / $575.44	Professional		$85.11	$380.19	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $125.89	Professional		$102.33	$102.33	$125.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $104.71 / $630.96	Facility		$67.61	$104.71	$630.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $70.79 / $3,890.45	Professional		$46.77	$70.79	$3,890.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $112.20	Professional		$93.33	$112.20	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $107.15	Professional		$50.12	$72.44	$107.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82