Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.90 / $300.58 / $385.87	Professional		$187.90	$300.58	$385.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.25 / $614.05 / $623.89	Professional		$491.25	$614.05	$623.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $438.74 / $823.62 / $2,283.28	Facility		$438.74	$823.62	$2,283.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $235.19 / $462.96 / $517.30	Professional		$235.19	$462.96	$517.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $62.60 / $70.22 / $70.22	Facility		$62.60	$70.22	$70.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.22 / $79.20 / $640.74	Professional		$70.22	$79.20	$640.74
United Facility/Professional Professional Modifier Low / Median / High Price $231.48 / $417.27 / $517.30	Professional		$231.48	$417.27	$517.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $533.50 / $533.50 / $533.50	Professional		$533.50	$533.50	$533.50