Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.20 / $404.20 / $586.73	Facility		$404.20	$404.20	$586.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.77 / $394.87 / $513.87	Professional		$262.77	$394.87	$513.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Facility		$128.00	$128.00	$128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $348.75 / $435.94	Professional		$128.00	$348.75	$435.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $939.25 / $3,288.67	Facility		$100.00	$939.25	$3,288.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $343.03 / $435.85 / $999.36	Professional		$343.03	$435.85	$999.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $90.24 / $101.26 / $155.62	Facility		$90.24	$101.26	$155.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $101.26 / $105.81 / $155.62	Professional		$101.26	$105.81	$155.62
United Facility/Professional Professional Modifier Low / Median / High Price $364.40 / $364.91 / $999.36	Professional		$364.40	$364.91	$999.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $571.16 / $723.00 / $723.00	Professional		$571.16	$723.00	$723.00