Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $162.18 / $162.18	Facility		$128.82	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $138.04 / $218.78	Professional		$128.82	$138.04	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $26.30 / $32.36	Professional		$25.70	$26.30	$32.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $208.93 / $398.11	Facility		$91.20	$208.93	$398.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $154.88	Professional		$131.83	$154.88	$154.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $169.82	Professional		$154.88	$154.88	$169.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90