Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.88 / $176.88 / $176.88	Facility		$176.88	$176.88	$176.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $174.26 / $206.66	Professional		$130.47	$174.26	$206.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.03 / $257.70 / $317.54	Professional		$220.03	$257.70	$317.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.84 / $250.32 / $367.24	Facility		$117.84	$250.32	$367.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.66 / $317.67 / $999.25	Professional		$110.66	$317.67	$999.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $189.73 / $390.52 / $399.51	Facility		$189.73	$390.52	$399.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $283.08 / $390.52 / $399.51	Professional		$283.08	$390.52	$399.51
United Facility/Professional Professional Modifier Low / Median / High Price $110.66 / $241.96 / $476.51	Professional		$110.66	$241.96	$476.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $311.39 / $311.39 / $311.39	Professional		$311.39	$311.39	$311.39