Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.17 / $306.04 / $413.32	Professional		$126.17	$306.04	$413.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.14 / $290.14 / $368.71	Facility		$290.14	$290.14	$368.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.46 / $517.50 / $646.88	Professional		$464.46	$517.50	$646.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $305.79 / $517.21 / $2,008.95	Facility		$305.79	$517.21	$2,008.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $178.40 / $316.50 / $372.30	Professional		$178.40	$316.50	$372.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $49.25 / $49.25	Facility		$40.95	$49.25	$49.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.22 / $90.52 / $511.75	Professional		$47.22	$90.52	$511.75
United Facility/Professional Professional Modifier Low / Median / High Price $148.63 / $223.38 / $372.30	Professional		$148.63	$223.38	$372.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $402.93 / $402.93 / $402.93	Professional		$402.93	$402.93	$402.93