Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.08 / $112.08 / $377.79	Facility		$112.08	$112.08	$377.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.03 / $93.03 / $112.08	Professional		$93.03	$93.03	$112.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.75 / $123.75 / $154.69	Professional		$123.75	$123.75	$154.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.08 / $150.90 / $276.38	Facility		$112.08	$150.90	$276.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $110.00	Professional		$100.00	$100.00	$110.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $128.22 / $157.87 / $250.33	Facility		$128.22	$157.87	$250.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $135.96 / $158.18 / $264.11	Professional		$135.96	$158.18	$264.11
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $110.00	Professional		$100.00	$100.00	$110.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $106.48 / $106.48 / $106.48	Professional		$106.48	$106.48	$106.48