Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.73 / $414.57 / $498.45	Professional		$188.73	$414.57	$498.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.85 / $440.85 / $668.86	Facility		$440.85	$440.85	$668.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $581.63 / $668.86 / $727.03	Professional		$581.63	$668.86	$727.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.40 / $1,135.92 / $2,391.90	Facility		$457.40	$1,135.92	$2,391.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $219.25 / $422.56 / $541.79	Professional		$219.25	$422.56	$541.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.39 / $66.88 / $66.88	Facility		$66.39	$66.88	$66.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.39 / $126.27 / $692.05	Professional		$66.39	$126.27	$692.05
United Facility/Professional Professional Modifier Low / Median / High Price $180.11 / $422.56 / $576.83	Professional		$180.11	$422.56	$576.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $547.25 / $547.25 / $547.25	Professional		$547.25	$547.25	$547.25