Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.91 / $375.62 / $503.92	Professional		$171.91	$375.62	$503.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.00 / $235.00 / $472.67	Facility		$235.00	$235.00	$472.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.67 / $615.00 / $768.75	Professional		$472.67	$615.00	$768.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.79 / $899.08 / $2,575.35	Facility		$55.79	$899.08	$2,575.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.34 / $284.02 / $403.01	Professional		$180.34	$284.02	$403.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $62.98 / $63.45 / $63.45	Facility		$62.98	$63.45	$63.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.98 / $119.71 / $656.34	Professional		$62.98	$119.71	$656.34
United Facility/Professional Professional Modifier Low / Median / High Price $104.79 / $198.82 / $403.01	Professional		$104.79	$198.82	$403.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $519.12 / $519.12 / $519.12	Professional		$519.12	$519.12	$519.12