Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.85 / $247.16 / $247.16	Professional		$192.85	$247.16	$247.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.27 / $174.27 / $243.32	Facility		$174.27	$174.27	$243.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.75 / $307.50 / $384.38	Professional		$287.75	$307.50	$384.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.38 / $325.92 / $1,325.73	Facility		$28.38	$325.92	$1,325.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $167.60 / $239.62	Professional		$85.14	$167.60	$239.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.88 / $31.12 / $31.12	Facility		$30.88	$31.12	$31.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.88 / $58.67 / $321.86	Professional		$30.88	$58.67	$321.86
United Facility/Professional Professional Modifier Low / Median / High Price $71.77 / $136.16 / $239.62	Professional		$71.77	$136.16	$239.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $254.61 / $254.61 / $254.61	Professional		$254.61	$254.61	$254.61