Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.82 / $694.75 / $794.64	Facility		$134.82	$694.75	$794.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.53 / $75.88 / $134.82	Professional		$60.53	$75.88	$134.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.93 / $169.88 / $212.35	Professional		$138.93	$169.88	$212.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.52 / $195.63 / $317.18	Facility		$75.52	$195.63	$317.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $129.34 / $181.00	Professional		$77.59	$129.34	$181.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $142.58 / $249.16 / $430.22	Facility		$142.58	$249.16	$430.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $132.11 / $178.08 / $306.00	Professional		$132.11	$178.08	$306.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.74 / $153.38 / $181.00	Professional		$83.74	$153.38	$181.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $67.95 / $67.95	Professional		$67.95	$67.95	$67.95