Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.59 / $131.59 / $131.59	Facility		$131.59	$131.59	$131.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.81 / $131.59 / $219.08	Professional		$106.81	$131.59	$219.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.38 / $164.39 / $205.49	Professional		$149.38	$164.39	$205.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.86 / $153.43 / $292.66	Facility		$88.86	$153.43	$292.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.93 / $187.21 / $411.87	Professional		$100.93	$187.21	$411.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $101.48 / $229.13 / $321.32	Facility		$101.48	$229.13	$321.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $116.43 / $154.15 / $393.16	Professional		$116.43	$154.15	$393.16
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.36 / $187.21 / $406.25	Professional		$91.36	$187.21	$406.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $65.15 / $65.15	Professional		$65.15	$65.15	$65.15