Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.64 / $198.64 / $3,790.42	Facility		$198.64	$198.64	$3,790.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.34 / $183.28 / $198.64	Professional		$115.34	$183.28	$198.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.89 / $332.00 / $410.89	Professional		$281.89	$332.00	$410.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $152.38 / $278.27 / $412.39	Facility		$152.38	$278.27	$412.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.30 / $325.39 / $1,125.58	Professional		$138.30	$325.39	$1,125.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $237.17 / $421.25 / $448.95	Facility		$237.17	$421.25	$448.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $353.10 / $415.01 / $448.95	Professional		$353.10	$415.01	$448.95
United Facility/Professional Professional Modifier Low / Median / High Price $138.30 / $325.39 / $476.51	Professional		$138.30	$325.39	$476.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $147.30 / $147.30 / $147.30	Professional		$147.30	$147.30	$147.30