Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.02 / $3,762.29 / $7,026.58	Facility		$259.02	$3,762.29	$7,026.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.06 / $231.06 / $276.41	Professional		$231.06	$231.06	$276.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.95 / $493.42 / $610.66	Professional		$418.95	$493.42	$610.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.47 / $326.70 / $537.79	Facility		$218.47	$326.70	$537.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $240.45 / $461.72 / $1,550.91	Professional		$240.45	$461.72	$1,550.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $474.35 / $594.97 / $634.03	Facility		$474.35	$594.97	$634.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $103.29 / $622.02 / $634.03	Professional		$103.29	$622.02	$634.03
United Facility/Professional Professional Modifier Low / Median / High Price $240.45 / $453.91 / $529.55	Professional		$240.45	$453.91	$529.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $156.50 / $156.50 / $156.50	Professional		$156.50	$156.50	$156.50