Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $180.04 / $217.28	Professional		$95.90	$180.04	$217.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.46 / $126.46 / $202.39	Facility		$126.46	$126.46	$202.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.17 / $251.25 / $314.06	Professional		$239.17	$251.25	$314.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $493.31 / $1,102.70	Facility		$29.29	$493.31	$1,102.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $161.68 / $263.94	Professional		$88.06	$161.68	$263.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $29.05 / $29.05	Facility		$28.84	$29.05	$29.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $54.84 / $300.61	Professional		$28.84	$54.84	$300.61
United Facility/Professional Professional Modifier Low / Median / High Price $78.16 / $161.68 / $263.94	Professional		$78.16	$161.68	$263.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $237.69 / $237.69 / $237.69	Professional		$237.69	$237.69	$237.69