Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.00 / $574.00 / $574.00	Facility		$574.00	$574.00	$574.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.00 / $574.00 / $574.00	Professional		$574.00	$574.00	$574.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $424.00 / $424.00	Facility		$424.00	$424.00	$424.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.62 / $424.00 / $457.97	Professional		$357.62	$424.00	$457.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $555.91 / $975.80 / $1,668.76	Facility		$555.91	$975.80	$1,668.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $483.99 / $483.99 / $483.99	Professional		$483.99	$483.99	$483.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $421.04 / $421.04 / $483.99	Professional		$421.04	$421.04	$483.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $318.37 / $403.00 / $403.00	Professional		$318.37	$403.00	$403.00