Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.40 / $247.40 / $258.39	Professional		$247.40	$247.40	$258.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.83 / $170.83 / $170.83	Facility		$170.83	$170.83	$170.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.83 / $170.83 / $170.83	Professional		$170.83	$170.83	$170.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.70 / $436.70 / $708.02	Facility		$436.70	$436.70	$708.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $541.65 / $541.65 / $541.65	Professional		$541.65	$541.65	$541.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $518.70 / $518.70 / $518.70	Facility		$518.70	$518.70	$518.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $541.65 / $541.65 / $541.65	Professional		$541.65	$541.65	$541.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $451.00 / $451.00 / $451.00	Professional		$451.00	$451.00	$451.00