Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $112.00 / $112.00	Facility		$112.00	$112.00	$112.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.72 / $146.71 / $172.45	Professional		$79.72	$146.71	$172.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.30 / $120.30 / $236.68	Facility		$120.30	$120.30	$236.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.50 / $236.68 / $245.63	Professional		$196.50	$236.68	$245.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.45 / $303.63 / $812.03	Facility		$169.45	$303.63	$812.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.83 / $112.41 / $175.40	Professional		$74.83	$112.41	$175.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $23.67 / $27.54	Facility		$23.50	$23.67	$27.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $29.48 / $244.92	Professional		$23.50	$29.48	$244.92
United Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $141.63 / $194.87	Professional		$70.81	$141.63	$194.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $193.64 / $193.64 / $193.64	Professional		$193.64	$193.64	$193.64