Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $144.54	Professional		$67.61	$95.50	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $213.80	Facility		$95.50	$95.50	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $194.98	Professional		$158.49	$158.49	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $218.78 / $645.65	Facility		$181.97	$218.78	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $154.88	Professional		$60.26	$79.43	$154.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $97.72 / $177.83	Professional		$58.88	$97.72	$177.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82