Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.29 / $95.29 / $95.29	Facility		$95.29	$95.29	$95.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.29 / $130.47 / $146.31	Professional		$95.29	$130.47	$146.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $96.60 / $209.44	Facility		$96.60	$96.60	$209.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $195.94 / $195.94	Professional		$156.75	$195.94	$195.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $135.26 / $300.25 / $652.11	Facility		$135.26	$300.25	$652.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.67 / $107.84 / $154.82	Professional		$59.67	$107.84	$154.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $20.99 / $24.44	Facility		$20.99	$20.99	$24.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $26.83 / $216.82	Professional		$21.35	$26.83	$216.82
United Facility/Professional Professional Modifier Low / Median / High Price $59.33 / $118.65 / $155.55	Professional		$59.33	$118.65	$155.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $171.36 / $171.36 / $171.36	Professional		$171.36	$171.36	$171.36