Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.22 / $460.22 / $460.22	Facility		$460.22	$460.22	$460.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.22 / $611.87 / $728.66	Professional		$460.22	$611.87	$728.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.74 / $255.74 / $471.69	Facility		$255.74	$255.74	$471.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.00 / $840.00 / $1,050.00	Professional		$840.00	$840.00	$1,050.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.47 / $1,251.99 / $2,570.06	Facility		$72.47	$1,251.99	$2,570.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $296.80 / $414.54 / $663.26	Professional		$296.80	$414.54	$663.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $96.45 / $98.71 / $114.82	Facility		$96.45	$98.71	$114.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $96.45 / $120.93 / $1,021.45	Professional		$96.45	$120.93	$1,021.45
United Facility/Professional Professional Modifier Low / Median / High Price $193.33 / $469.67 / $663.26	Professional		$193.33	$469.67	$663.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $807.66 / $807.66 / $807.66	Professional		$807.66	$807.66	$807.66