Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.70 / $119.70 / $128.00	Professional		$119.70	$119.70	$128.00
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 / $94.50	Professional		$94.50	$94.50	$94.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $216.32 / $216.32 / $350.72	Facility		$216.32	$216.32	$350.72
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 $232.99 / $232.99 / $232.99	Professional		$232.99	$232.99	$232.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $194.00 / $194.00 / $194.00	Professional		$194.00	$194.00	$194.00