Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.10 / $296.10 / $296.10	Facility		$296.10	$296.10	$296.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.10 / $358.26 / $455.90	Professional		$296.10	$358.26	$455.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.75 / $564.34 / $698.44	Professional		$558.75	$564.34	$698.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.77 / $408.90 / $981.63	Facility		$48.77	$408.90	$981.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.96 / $30.98 / $1,261.44	Professional		$20.96	$30.98	$1,261.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.79 / $58.12 / $131.02	Facility		$56.79	$58.12	$131.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.79 / $62.96 / $702.71	Professional		$56.79	$62.96	$702.71
United Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $32.32 / $63.66	Professional		$19.30	$32.32	$63.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $555.02 / $555.02 / $555.02	Professional		$555.02	$555.02	$555.02