Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.93 / $108.93 / $108.93	Facility		$108.93	$108.93	$108.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.47 / $147.29 / $162.24	Professional		$87.47	$147.29	$162.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.50 / $123.50 / $224.50	Facility		$123.50	$123.50	$224.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.25 / $224.06 / $224.06	Professional		$179.25	$224.06	$224.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.56 / $333.86 / $725.63	Facility		$154.56	$333.86	$725.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $112.41 / $174.48	Professional		$65.95	$112.41	$174.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $22.46 / $26.14	Facility		$22.31	$22.46	$26.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $28.00 / $232.40	Professional		$22.31	$28.00	$232.40
United Facility/Professional Professional Modifier Low / Median / High Price $52.97 / $109.05 / $177.63	Professional		$52.97	$109.05	$177.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $183.68 / $183.68 / $183.68	Professional		$183.68	$183.68	$183.68