Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $302.00 / $1,071.52	Facility		$52.48	$302.00	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $269.15 / $323.59	Professional		$257.04	$269.15	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $208.93	Professional		$165.96	$165.96	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $323.59 / $707.95	Facility		$144.54	$323.59	$707.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $302.00	Professional		$229.09	$269.15	$302.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $302.00	Professional		$269.15	$269.15	$302.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00