Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Facility		$79.00	$79.00	$79.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Professional		$79.00	$79.00	$79.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $123.00 / $153.75	Professional		$123.00	$123.00	$153.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.97 / $133.51 / $216.46	Facility		$112.97	$133.51	$216.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $195.94 / $215.53 / $215.53	Professional		$195.94	$215.53	$215.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $396.71 / $396.71 / $462.82	Facility		$396.71	$396.71	$462.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $371.05 / $371.05 / $371.05	Professional		$371.05	$371.05	$371.05
United Facility/Professional Professional Modifier Low / Median / High Price $195.94 / $215.53 / $221.41	Professional		$195.94	$215.53	$221.41
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $264.47 / $264.47 / $264.47	Facility		$264.47	$264.47	$264.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $264.47 / $264.47 / $264.47	Professional		$264.47	$264.47	$264.47