Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $331.13 / $478.63	Facility		$131.83	$331.13	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $208.93	Professional		$114.82	$138.04	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $331.13 / $416.87	Professional		$251.19	$331.13	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $208.93 / $446.68	Facility		$173.78	$208.93	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $380.19	Professional		$104.71	$104.71	$380.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $380.19	Facility		$173.78	$173.78	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $380.19	Professional		$104.71	$104.71	$380.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $173.78	Professional		$138.04	$173.78	$173.78