Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.91 / $134.94 / $134.94	Professional		$99.91	$134.94	$134.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $160.78	Facility		$62.10	$62.10	$160.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.88 / $168.54 / $208.59	Professional		$166.88	$168.54	$208.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.88 / $170.30 / $640.17	Facility		$99.88	$170.30	$640.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.38 / $103.30 / $121.53	Professional		$57.38	$103.30	$121.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.85 / $17.86 / $17.86	Facility		$14.85	$17.86	$17.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $34.13 / $167.07	Professional		$17.80	$34.13	$167.07
United Facility/Professional Professional Modifier Low / Median / High Price $48.53 / $72.92 / $121.53	Professional		$48.53	$72.92	$121.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $131.54 / $131.54 / $131.54	Professional		$131.54	$131.54	$131.54