Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.94 / $555.77 / $555.77	Professional		$432.94	$555.77	$555.77
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 $348.75 / $435.94 / $442.91	Professional		$348.75	$435.94	$442.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $631.94 / $1,186.26 / $3,288.67	Facility		$631.94	$1,186.26	$3,288.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.74 / $666.81 / $745.07	Professional		$338.74	$666.81	$745.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $90.24 / $101.26 / $101.26	Facility		$90.24	$101.26	$101.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $101.26 / $114.23 / $868.31	Professional		$101.26	$114.23	$868.31
United Facility/Professional Professional Modifier Low / Median / High Price $333.41 / $594.99 / $745.07	Professional		$333.41	$594.99	$745.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $723.00 / $723.00 / $723.00	Professional		$723.00	$723.00	$723.00