Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.55 / $244.12 / $372.24	Facility		$91.55	$244.12	$372.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $105.33 / $105.33	Professional		$105.33	$105.33	$105.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.48 / $144.60 / $180.74	Professional		$91.48	$144.60	$180.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.61 / $103.49 / $359.13	Facility		$79.61	$103.49	$359.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.97 / $63.23 / $219.72	Professional		$54.97	$63.23	$219.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.61 / $174.42 / $359.13	Facility		$95.61	$174.42	$359.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.53 / $174.42 / $275.04	Professional		$95.53	$174.42	$275.04
United Facility/Professional Professional Modifier Low / Median / High Price $54.97 / $57.35 / $191.05	Professional		$54.97	$57.35	$191.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $83.90 / $106.20 / $106.20	Professional		$83.90	$106.20	$106.20