Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $374.90 / $406.34	Professional		$83.70	$374.90	$406.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.78 / $101.25 / $126.56	Professional		$96.78	$101.25	$126.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.59 / $103.91 / $374.90	Facility		$71.59	$103.91	$374.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $66.29 / $3,919.21	Professional		$46.77	$66.29	$3,919.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $93.13 / $112.44 / $290.95	Facility		$93.13	$112.44	$290.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.58 / $112.44 / $682.40	Professional		$93.58	$112.44	$682.40
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $66.29 / $106.94	Professional		$46.77	$66.29	$106.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $128.90 / $128.90	Professional		$128.90	$128.90	$128.90