Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.33 / $777.04 / $777.04	Professional		$575.33	$777.04	$777.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $516.79 / $516.79 / $925.78	Facility		$516.79	$516.79	$925.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.75 / $985.51 / $1,219.69	Professional		$975.75	$985.51	$1,219.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $667.06 / $1,576.40 / $3,947.25	Facility		$667.06	$1,576.40	$3,947.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $335.18 / $670.35 / $798.30	Professional		$335.18	$670.35	$798.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $92.31 / $92.58 / $92.58	Facility		$92.31	$92.58	$92.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $92.31 / $176.40 / $962.07	Professional		$92.31	$176.40	$962.07
United Facility/Professional Professional Modifier Low / Median / High Price $328.76 / $489.86 / $1,069.16	Professional		$328.76	$489.86	$1,069.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $757.46 / $757.46 / $757.46	Professional		$757.46	$757.46	$757.46