Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.83 / $299.83 / $299.83	Facility		$299.83	$299.83	$299.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.83 / $365.38 / $381.65	Professional		$299.83	$365.38	$381.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.99 / $172.99 / $172.99	Facility		$172.99	$172.99	$172.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.54 / $172.99 / $216.24	Professional		$110.54	$172.99	$216.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $428.77 / $545.76 / $1,253.70	Facility		$428.77	$545.76	$1,253.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $180.15 / $180.15 / $180.15	Professional		$180.15	$180.15	$180.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $53.40 / $53.40	Professional		$53.40	$53.40	$53.40