Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.79 / $67.43 / $73.72	Professional		$58.79	$67.43	$73.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $108.74 / $144.81	Professional		$65.25	$108.74	$144.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.43 / $113.96 / $153.05	Facility		$67.43	$113.96	$153.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.70 / $98.75 / $511.00	Professional		$57.70	$98.75	$511.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $85.02 / $135.38 / $162.13	Facility		$85.02	$135.38	$162.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $113.53 / $148.88	Professional		$85.02	$113.53	$148.88
United Facility/Professional Professional Modifier Low / Median / High Price $62.23 / $98.75 / $133.82	Professional		$62.23	$98.75	$133.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $126.70 / $126.70	Professional		$103.50	$126.70	$126.70