Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.38 / $256.38 / $256.38	Facility		$256.38	$256.38	$256.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.25 / $236.89 / $256.38	Professional		$216.25	$236.89	$256.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.97 / $407.61 / $460.55	Professional		$247.97	$407.61	$460.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $236.89 / $395.51 / $649.08	Facility		$236.89	$395.51	$649.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $255.09 / $389.63 / $1,392.79	Professional		$255.09	$389.63	$1,392.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $380.17 / $460.55 / $569.64	Facility		$380.17	$460.55	$569.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $370.14 / $438.88 / $506.47	Professional		$370.14	$438.88	$506.47
United Facility/Professional Professional Modifier Low / Median / High Price $229.98 / $355.82 / $510.18	Professional		$229.98	$355.82	$510.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $156.50 / $156.50 / $156.50	Professional		$156.50	$156.50	$156.50