Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.15 / $231.15 / $231.15	Professional		$171.15	$231.15	$231.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.77 / $153.77 / $206.28	Facility		$153.77	$153.77	$206.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.99 / $288.75 / $360.94	Professional		$259.99	$288.75	$360.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.04 / $314.27 / $1,123.95	Facility		$25.04	$314.27	$1,123.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.88 / $169.75 / $188.47	Professional		$84.88	$169.75	$188.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.90 / $27.54 / $27.54	Facility		$22.90	$27.54	$27.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $52.62 / $286.20	Professional		$27.46	$52.62	$286.20
United Facility/Professional Professional Modifier Low / Median / High Price $84.55 / $123.03 / $236.21	Professional		$84.55	$123.03	$236.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $225.36 / $225.36 / $225.36	Professional		$225.36	$225.36	$225.36