Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.79 / $453.79 / $453.79	Facility		$453.79	$453.79	$453.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.79 / $563.22 / $679.19	Professional		$453.79	$563.22	$679.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $412.57	Facility		$150.00	$150.00	$412.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $832.50 / $832.50 / $1,040.63	Professional		$832.50	$832.50	$1,040.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.87 / $1,118.67 / $2,247.90	Facility		$71.87	$1,118.67	$2,247.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.77 / $368.42 / $589.48	Professional		$263.77	$368.42	$589.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $82.87 / $86.22 / $100.24	Facility		$82.87	$86.22	$100.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.87 / $103.83 / $891.74	Professional		$82.87	$103.83	$891.74
United Facility/Professional Professional Modifier Low / Median / High Price $169.10 / $368.42 / $542.26	Professional		$169.10	$368.42	$542.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $705.42 / $705.42 / $705.42	Professional		$705.42	$705.42	$705.42