Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.13 / $147.13 / $147.13	Facility		$147.13	$147.13	$147.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $148.19 / $180.00	Professional		$147.13	$148.19	$180.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $183.96 / $304.30	Professional		$183.96	$183.96	$304.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $150.06 / $250.46 / $472.90	Facility		$150.06	$250.46	$472.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $215.05 / $215.05 / $1,301.95	Professional		$215.05	$215.05	$1,301.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $257.81 / $341.30 / $513.67	Facility		$257.81	$341.30	$513.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $264.77 / $311.80 / $368.42	Professional		$264.77	$311.80	$368.42
United Facility/Professional Professional Modifier Low / Median / High Price $215.05 / $215.05 / $236.56	Professional		$215.05	$215.05	$236.56
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $208.58 / $208.58 / $208.58	Facility		$208.58	$208.58	$208.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $208.58 / $208.58 / $208.58	Professional		$208.58	$208.58	$208.58