Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.79 / $138.94 / $138.94	Professional		$107.79	$138.94	$138.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.74 / $122.74 / $173.94	Facility		$122.74	$122.74	$173.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.50 / $174.23 / $215.63	Professional		$172.50	$174.23	$215.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.52 / $295.33 / $671.25	Facility		$109.52	$295.33	$671.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.55 / $114.41 / $140.84	Professional		$62.55	$114.41	$140.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.25 / $17.39 / $17.39	Facility		$17.25	$17.39	$17.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $32.78 / $179.90	Professional		$17.25	$32.78	$179.90
United Facility/Professional Professional Modifier Low / Median / High Price $51.53 / $114.41 / $140.84	Professional		$51.53	$114.41	$140.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $142.32 / $142.32 / $142.32	Professional		$142.32	$142.32	$142.32