Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $131.99 / $131.99	Facility		$58.90	$131.99	$131.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.96 / $158.47 / $228.80	Professional		$112.96	$158.47	$228.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.54 / $179.19 / $223.98	Professional		$146.54	$179.19	$223.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $168.48 / $190.90 / $251.47	Facility		$168.48	$190.90	$251.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.37 / $249.84 / $810.58	Professional		$160.37	$249.84	$810.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $245.32 / $297.83 / $490.31	Facility		$245.32	$297.83	$490.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $255.50 / $297.83 / $490.31	Professional		$255.50	$297.83	$490.31
United Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $200.48 / $267.27	Professional		$150.19	$200.48	$267.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $313.70 / $369.00 / $369.00	Professional		$313.70	$369.00	$369.00