Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.98 / $395.57 / $525.35	Professional		$198.98	$395.57	$525.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $324.85 / $324.85 / $382.81	Facility		$324.85	$324.85	$382.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.86 / $611.25 / $764.06	Professional		$533.86	$611.25	$764.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.86 / $884.51 / $1,770.01	Facility		$52.86	$884.51	$1,770.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $212.03 / $360.90 / $466.37	Professional		$212.03	$360.90	$466.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $69.15 / $69.65 / $69.65	Facility		$69.15	$69.65	$69.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.15 / $131.54 / $720.72	Professional		$69.15	$131.54	$720.72
United Facility/Professional Professional Modifier Low / Median / High Price $133.15 / $323.47 / $426.98	Professional		$133.15	$323.47	$426.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $569.88 / $569.88 / $569.88	Professional		$569.88	$569.88	$569.88