Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.48 / $335.48 / $335.48	Facility		$335.48	$335.48	$335.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.48 / $424.13 / $503.24	Professional		$335.48	$424.13	$503.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.49 / $300.49 / $338.00	Facility		$300.49	$300.49	$338.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $618.75 / $618.75 / $773.44	Professional		$618.75	$618.75	$773.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.31 / $716.78 / $1,637.27	Facility		$53.31	$716.78	$1,637.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $193.44 / $270.18 / $432.29	Professional		$193.44	$270.18	$432.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $60.97 / $65.26 / $75.87	Facility		$60.97	$65.26	$75.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.97 / $77.03 / $674.95	Professional		$60.97	$77.03	$674.95
United Facility/Professional Professional Modifier Low / Median / High Price $123.16 / $233.68 / $386.88	Professional		$123.16	$233.68	$386.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $533.97 / $533.97 / $533.97	Professional		$533.97	$533.97	$533.97