Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $134.78 / $163.16	Professional		$63.57	$134.78	$163.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.38 / $144.38 / $217.46	Facility		$144.38	$144.38	$217.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $217.46 / $240.00	Professional		$192.00	$217.46	$240.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.07 / $227.78 / $782.36	Facility		$154.07	$227.78	$782.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $138.99 / $176.13	Professional		$72.45	$138.99	$176.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.59 / $21.75 / $21.75	Facility		$21.59	$21.75	$21.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.59 / $41.04 / $224.98	Professional		$21.59	$41.04	$224.98
United Facility/Professional Professional Modifier Low / Median / High Price $69.50 / $144.88 / $190.53	Professional		$69.50	$144.88	$190.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.92 / $177.92 / $177.92	Professional		$177.92	$177.92	$177.92