Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.47 / $155.47 / $155.47	Facility		$155.47	$155.47	$155.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $211.05 / $239.40	Professional		$155.47	$211.05	$239.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.10 / $147.10 / $147.10	Facility		$147.10	$147.10	$147.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $318.75	Professional		$255.00	$255.00	$318.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.35 / $211.05 / $578.28	Facility		$30.35	$211.05	$578.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $19.29 / $38.58	Professional		$12.26	$19.29	$38.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.79 / $34.03 / $77.18	Facility		$33.79	$34.03	$77.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $35.09 / $408.74	Professional		$33.79	$35.09	$408.74
United Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $19.29 / $81.62	Professional		$12.26	$19.29	$81.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $332.61 / $332.61 / $332.61	Professional		$332.61	$332.61	$332.61