Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.73 / $424.97 / $534.46	Professional		$186.73	$424.97	$534.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $464.03 / $464.03 / $685.72	Facility		$464.03	$464.03	$685.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.00 / $685.72 / $806.25	Professional		$645.00	$685.72	$806.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $452.56 / $1,164.42 / $2,537.59	Facility		$452.56	$1,164.42	$2,537.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.40 / $425.41 / $553.44	Professional		$234.40	$425.41	$553.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $68.06 / $68.56 / $68.56	Facility		$68.06	$68.56	$68.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $129.41 / $709.36	Professional		$68.06	$129.41	$709.36
United Facility/Professional Professional Modifier Low / Median / High Price $182.86 / $345.90 / $553.44	Professional		$182.86	$345.90	$553.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $561.04 / $561.04 / $561.04	Professional		$561.04	$561.04	$561.04