Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.62 / $302.62 / $413.05	Professional		$302.62	$302.62	$413.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.63 / $501.47 / $694.69	Professional		$359.63	$501.47	$694.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $342.64 / $515.08 / $835.10	Facility		$342.64	$515.08	$835.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.71 / $283.23 / $3,418.79	Professional		$234.71	$283.23	$3,418.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $530.21 / $712.06 / $1,004.33	Facility		$530.21	$712.06	$1,004.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $596.74 / $712.06 / $912.72	Professional		$596.74	$712.06	$912.72
United Facility/Professional Professional Modifier Low / Median / High Price $174.16 / $257.45 / $472.05	Professional		$174.16	$257.45	$472.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $748.00 / $748.00 / $748.00	Professional		$748.00	$748.00	$748.00