Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.17 / $107.17 / $107.17	Professional		$107.17	$107.17	$107.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $69.00 / $150.53	Professional		$69.00	$69.00	$150.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.16 / $155.16 / $177.82	Facility		$155.16	$155.16	$177.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.84 / $236.68 / $778.48	Professional		$153.84	$236.68	$778.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $117.23 / $165.53 / $242.53	Facility		$117.23	$165.53	$242.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $150.53 / $150.53 / $195.16	Professional		$150.53	$150.53	$195.16
United Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $213.01 / $360.59	Professional		$81.52	$213.01	$360.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $225.30 / $225.30 / $225.30	Professional		$225.30	$225.30	$225.30