Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.85 / $365.85 / $365.85	Facility		$365.85	$365.85	$365.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.66 / $310.97 / $365.85	Professional		$303.66	$310.97	$365.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.97 / $310.97 / $536.00	Professional		$310.97	$310.97	$536.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $365.85 / $492.58 / $902.20	Facility		$365.85	$492.58	$902.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $304.88 / $304.88 / $543.29	Professional		$304.88	$304.88	$543.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $268.68 / $543.29 / $673.46	Facility		$268.68	$543.29	$673.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $445.86 / $550.47 / $914.36	Professional		$445.86	$550.47	$914.36
United Facility/Professional Professional Modifier Low / Median / High Price $259.14 / $304.88 / $335.37	Professional		$259.14	$304.88	$335.37
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $179.12 / $179.12 / $179.12	Facility		$179.12	$179.12	$179.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $179.12 / $179.12 / $179.12	Professional		$179.12	$179.12	$179.12