Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.84 / $178.84 / $178.84	Facility		$178.84	$178.84	$178.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.84 / $178.84 / $191.30	Professional		$178.84	$178.84	$191.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $294.49 / $294.49	Professional		$160.94	$294.49	$294.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $256.54 / $323.30 / $387.36	Facility		$256.54	$323.30	$387.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.49 / $240.98 / $1,409.81	Professional		$120.49	$240.98	$1,409.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $266.70 / $362.83 / $630.40	Facility		$266.70	$362.83	$630.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $266.70 / $301.85 / $362.83	Professional		$266.70	$301.85	$362.83
United Facility/Professional Professional Modifier Low / Median / High Price $107.50 / $144.59 / $265.08	Professional		$107.50	$144.59	$265.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $275.20 / $275.20 / $275.20	Professional		$275.20	$275.20	$275.20