Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $141.25	Professional		$63.10	$91.20	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $190.55	Professional		$154.88	$154.88	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $194.98 / $630.96	Facility		$131.83	$194.98	$630.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $125.89	Professional		$50.12	$64.57	$125.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $169.82	Professional		$83.18	$117.49	$169.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $144.54	Professional		$47.86	$64.57	$144.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18