Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.08 / $410.70 / $410.70	Professional		$304.08	$410.70	$410.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.92 / $219.78 / $431.08	Facility		$38.92	$219.78	$431.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.50 / $522.67 / $646.88	Professional		$517.50	$522.67	$646.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.49 / $833.18 / $2,348.81	Facility		$44.49	$833.18	$2,348.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.63 / $263.06 / $366.67	Professional		$133.63	$263.06	$366.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.78 / $48.94 / $48.94	Facility		$48.78	$48.94	$48.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.78 / $93.44 / $508.50	Professional		$48.78	$93.44	$508.50
United Facility/Professional Professional Modifier Low / Median / High Price $176.69 / $220.00 / $366.67	Professional		$176.69	$220.00	$366.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $400.41 / $400.41 / $400.41	Professional		$400.41	$400.41	$400.41