Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $91.20 / $173.78	Facility		$58.88	$91.20	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $131.83 / $229.09	Professional		$46.77	$131.83	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $229.09	Professional		$147.91	$181.97	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $190.55 / $251.19	Facility		$162.18	$190.55	$251.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $363.08	Professional		$120.23	$199.53	$363.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $269.15 / $295.12	Professional		$245.47	$269.15	$295.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $288.40	Professional		$125.89	$186.21	$288.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $371.54	Professional		$316.23	$371.54	$371.54