Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.70 / $320.83 / $1,077.30	Facility		$273.70	$320.83	$1,077.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.30 / $272.70 / $320.83	Professional		$266.30	$272.70	$320.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.38 / $165.38 / $206.72	Professional		$165.38	$165.38	$206.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.80 / $320.83 / $711.27	Facility		$145.80	$320.83	$711.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $304.80	Professional		$267.37	$267.37	$304.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $90.36 / $341.78 / $1,106.46	Facility		$90.36	$341.78	$1,106.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $90.36 / $138.88 / $439.04	Professional		$90.36	$138.88	$439.04
United Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $294.11	Professional		$267.37	$267.37	$294.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Professional		$300.00	$300.00	$300.00