Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.02 / $238.02 / $2,043.94	Facility		$238.02	$238.02	$2,043.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.21 / $195.48 / $253.41	Professional		$138.21	$195.48	$253.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.82 / $381.61 / $470.21	Professional		$325.82	$381.61	$470.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $174.34 / $337.16 / $494.16	Facility		$174.34	$337.16	$494.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.77 / $397.18 / $1,354.45	Professional		$165.77	$397.18	$1,354.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $265.63 / $527.77 / $543.99	Facility		$265.63	$527.77	$543.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $396.33 / $538.55 / $578.87	Professional		$396.33	$538.55	$578.87
United Facility/Professional Professional Modifier Low / Median / High Price $138.13 / $397.18 / $595.77	Professional		$138.13	$397.18	$595.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $168.30 / $168.30 / $168.30	Professional		$168.30	$168.30	$168.30