Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $336.61 / $470.84	Facility		$173.03	$336.61	$470.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.20 / $114.20 / $114.20	Professional		$114.20	$114.20	$114.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.07 / $314.64 / $393.31	Professional		$199.07	$314.64	$393.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $223.64 / $461.99	Facility		$173.03	$223.64	$461.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.82 / $103.82 / $397.97	Professional		$103.82	$103.82	$397.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.64 / $302.80 / $379.21	Facility		$207.64	$302.80	$379.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $207.64 / $302.80 / $379.21	Professional		$207.64	$302.80	$379.21
United Facility/Professional Professional Modifier Low / Median / High Price $103.82 / $103.82 / $354.28	Professional		$103.82	$103.82	$354.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $136.69 / $173.03 / $173.03	Professional		$136.69	$173.03	$173.03