Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.70 / $119.70 / $119.70	Facility		$119.70	$119.70	$119.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.70 / $119.70 / $119.70	Professional		$119.70	$119.70	$119.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $94.50 / $94.50	Facility		$94.50	$94.50	$94.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $94.50 / $150.55	Professional		$94.50	$94.50	$150.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $119.70 / $134.96 / $221.05	Facility		$119.70	$134.96	$221.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $232.99 / $232.99 / $232.99	Professional		$232.99	$232.99	$232.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $188.52 / $188.52 / $232.99	Professional		$188.52	$188.52	$232.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $153.26 / $194.00 / $194.00	Professional		$153.26	$194.00	$194.00