Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $144.90 / $167.33	Professional		$81.37	$144.90	$167.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $147.16	Facility		$112.20	$112.20	$147.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.50 / $187.50 / $234.38	Professional		$187.50	$187.50	$234.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $397.03 / $801.83	Facility		$24.86	$397.03	$801.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.62 / $122.70 / $208.99	Professional		$73.62	$122.70	$208.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.21 / $23.36 / $23.36	Facility		$23.21	$23.36	$23.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $44.16 / $241.88	Professional		$23.21	$44.16	$241.88
United Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $122.70 / $208.99	Professional		$60.32	$122.70	$208.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $191.16 / $191.16 / $191.16	Professional		$191.16	$191.16	$191.16