Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.59 / $101.59 / $101.59	Facility		$101.59	$101.59	$101.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $101.59 / $181.98	Professional		$14.22	$101.59	$181.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.13 / $50.16 / $50.96	Professional		$40.13	$50.16	$50.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.12 / $111.77 / $206.08	Facility		$19.12	$111.77	$206.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $31.59 / $806.50	Professional		$23.82	$31.59	$806.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $126.82 / $168.41 / $233.95	Facility		$126.82	$168.41	$233.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $168.41 / $168.41 / $185.20	Professional		$168.41	$168.41	$185.20
United Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $31.59 / $279.01	Professional		$23.82	$31.59	$279.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $29.80 / $29.80	Professional		$29.80	$29.80	$29.80