Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.26 / $432.26 / $627.46	Facility		$432.26	$432.26	$627.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.01 / $422.29 / $549.54	Professional		$281.01	$422.29	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $686.25 / $857.81	Professional		$200.00	$686.25	$857.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.52 / $1,231.56 / $3,516.99	Facility		$98.52	$1,231.56	$3,516.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $304.14 / $439.32 / $1,068.75	Professional		$304.14	$439.32	$1,068.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $87.83 / $98.52 / $151.41	Facility		$87.83	$98.52	$151.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $99.00 / $138.97	Professional		$98.52	$99.00	$138.97
United Facility/Professional Professional Modifier Low / Median / High Price $381.84 / $466.12 / $1,068.75	Professional		$381.84	$466.12	$1,068.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $55.00 / $55.00	Professional		$43.45	$55.00	$55.00