Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $109.83 / $109.83	Professional		$88.54	$109.83	$109.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.86 / $95.86 / $142.86	Facility		$95.86	$95.86	$142.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.38 / $142.86 / $165.47	Professional		$132.38	$142.86	$165.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.63 / $149.63 / $523.65	Facility		$93.63	$149.63	$523.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.22 / $86.29 / $103.20	Professional		$49.22	$86.29	$103.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $13.44 / $14.56	Facility		$13.44	$13.44	$14.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $26.20 / $147.79	Professional		$13.87	$26.20	$147.79
United Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $64.50 / $103.20	Professional		$39.46	$64.50	$103.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $116.88 / $116.88 / $116.88	Professional		$116.88	$116.88	$116.88