Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.64 / $147.84 / $175.86	Professional		$79.64	$147.84	$175.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.69 / $131.69 / $167.30	Facility		$131.69	$131.69	$167.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.06 / $202.50 / $253.13	Professional		$198.06	$202.50	$253.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.34 / $256.19 / $911.54	Facility		$24.34	$256.19	$911.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.11 / $133.88 / $208.85	Professional		$73.11	$133.88	$208.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.69 / $23.85 / $23.85	Facility		$23.69	$23.85	$23.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $45.05 / $246.81	Professional		$23.69	$45.05	$246.81
United Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $93.72 / $208.85	Professional		$64.70	$93.72	$208.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $195.12 / $195.12 / $195.12	Professional		$195.12	$195.12	$195.12