Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.34 / $110.31 / $136.38	Professional		$54.34	$110.31	$136.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.65 / $124.23 / $178.01	Facility		$94.65	$124.23	$178.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.75 / $178.01 / $207.19	Professional		$165.75	$178.01	$207.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.69 / $186.42 / $679.35	Facility		$131.69	$186.42	$679.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.18 / $117.63 / $155.87	Professional		$66.18	$117.63	$155.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $17.80 / $17.80	Facility		$17.66	$17.80	$17.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $33.57 / $184.12	Professional		$17.66	$33.57	$184.12
United Facility/Professional Professional Modifier Low / Median / High Price $52.81 / $97.42 / $155.87	Professional		$52.81	$97.42	$155.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $145.65 / $145.65 / $145.65	Professional		$145.65	$145.65	$145.65