Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.23 / $414.23 / $414.23	Facility		$414.23	$414.23	$414.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.23 / $548.45 / $667.65	Professional		$414.23	$548.45	$667.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.74 / $316.74 / $649.07	Facility		$316.74	$316.74	$649.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $791.25 / $791.25 / $989.06	Professional		$791.25	$791.25	$989.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.37 / $1,085.05 / $3,536.46	Facility		$68.37	$1,085.05	$3,536.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $254.63 / $355.64 / $569.03	Professional		$254.63	$355.64	$569.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.21 / $88.50 / $102.91	Facility		$83.21	$88.50	$102.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $104.26 / $915.52	Professional		$83.21	$104.26	$915.52
United Facility/Professional Professional Modifier Low / Median / High Price $163.11 / $309.47 / $569.03	Professional		$163.11	$309.47	$569.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $724.05 / $724.05 / $724.05	Professional		$724.05	$724.05	$724.05