Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.99 / $314.51 / $375.52	Professional		$146.99	$314.51	$375.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.88 / $325.88 / $507.38	Facility		$325.88	$325.88	$507.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.25 / $507.38 / $539.05	Professional		$431.25	$507.38	$539.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $356.24 / $861.76 / $1,745.64	Facility		$356.24	$861.76	$1,745.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.88 / $304.45 / $411.25	Professional		$160.88	$304.45	$411.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $50.38 / $50.73 / $50.73	Facility		$50.38	$50.73	$50.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.38 / $95.83 / $525.04	Professional		$50.38	$95.83	$525.04
United Facility/Professional Professional Modifier Low / Median / High Price $124.62 / $304.45 / $372.14	Professional		$124.62	$304.45	$372.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $415.13 / $415.13 / $415.13	Professional		$415.13	$415.13	$415.13