Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
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 $366.38 / $424.00 / $457.97	Professional		$366.38	$424.00	$457.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $970.06 / $970.06 / $1,572.76	Facility		$970.06	$970.06	$1,572.76
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 $483.99 / $483.99 / $483.99	Professional		$483.99	$483.99	$483.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $403.00 / $403.00 / $403.00	Professional		$403.00	$403.00	$403.00