Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.58 / $318.58 / $318.58	Facility		$318.58	$318.58	$318.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.39 / $395.36 / $490.53	Professional		$196.39	$395.36	$490.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $596.25 / $602.21 / $745.31	Professional		$596.25	$602.21	$745.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.61 / $498.50 / $1,083.29	Facility		$47.61	$498.50	$1,083.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $43.85 / $449.50	Professional		$22.45	$43.85	$449.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.32 / $63.80 / $74.18	Facility		$63.32	$63.80	$74.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.32 / $79.36 / $659.95	Professional		$63.32	$79.36	$659.95
United Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $43.85 / $401.10	Professional		$19.12	$43.85	$401.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $522.00 / $522.00 / $522.00	Professional		$522.00	$522.00	$522.00