Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.85 / $166.71 / $166.71	Facility		$59.85	$166.71	$166.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.92 / $137.41 / $180.19	Professional		$124.92	$137.41	$180.19
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 $174.80 / $233.27 / $281.74	Facility		$174.80	$233.27	$281.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $203.60 / $315.27 / $1,024.30	Professional		$203.60	$315.27	$1,024.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $297.13 / $369.25 / $577.51	Facility		$297.13	$369.25	$577.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $324.18 / $376.92 / $574.08	Professional		$324.18	$376.92	$574.08
United Facility/Professional Professional Modifier Low / Median / High Price $176.70 / $252.91 / $339.34	Professional		$176.70	$252.91	$339.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $374.10 / $440.10 / $440.10	Professional		$374.10	$440.10	$440.10