Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $363.08 / $363.08	Facility		$295.12	$363.08	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $501.19	Professional		$295.12	$309.03	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $549.54	Professional		$309.03	$309.03	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $489.78 / $912.01	Facility		$363.08	$489.78	$912.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $549.54	Professional		$302.00	$302.00	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $338.84	Professional		$257.04	$302.00	$338.84
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83