Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.80 / $129.35 / $129.35	Professional		$103.80	$129.35	$129.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.16 / $88.16 / $167.51	Facility		$88.16	$88.16	$167.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.13 / $167.51 / $196.41	Professional		$157.13	$167.51	$196.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.38 / $284.41 / $632.74	Facility		$125.38	$284.41	$632.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.01 / $109.76 / $146.63	Professional		$63.01	$109.76	$146.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $16.76 / $16.76	Facility		$16.64	$16.76	$16.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $31.63 / $173.26	Professional		$16.64	$31.63	$173.26
United Facility/Professional Professional Modifier Low / Median / High Price $48.86 / $109.76 / $155.72	Professional		$48.86	$109.76	$155.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $137.05 / $137.05 / $137.05	Professional		$137.05	$137.05	$137.05