Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $4,365.16	Facility		$186.21	$186.21	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $194.98 / $257.04	Professional		$177.83	$194.98	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $416.87 / $524.81	Professional		$398.11	$416.87	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $316.23 / $501.19	Facility		$239.88	$316.23	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $316.23 / $5,248.07	Professional		$165.96	$316.23	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $398.11	Professional		$316.23	$316.23	$398.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $309.03 / $489.78	Professional		$186.21	$309.03	$489.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90