Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.83 / $202.04 / $202.04	Professional		$138.83	$202.04	$202.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.41 / $134.41 / $240.72	Facility		$134.41	$134.41	$240.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.88 / $256.41 / $317.33	Professional		$253.88	$256.41	$317.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $149.56 / $273.93 / $997.78	Facility		$149.56	$273.93	$997.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.19 / $154.66 / $168.86	Professional		$87.19	$154.66	$168.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $23.84 / $23.84	Facility		$19.80	$23.84	$23.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $45.53 / $250.16	Professional		$23.76	$45.53	$250.16
United Facility/Professional Professional Modifier Low / Median / High Price $72.66 / $103.03 / $168.86	Professional		$72.66	$103.03	$168.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $196.96 / $196.96 / $196.96	Professional		$196.96	$196.96	$196.96