Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.12 / $198.97 / $198.97	Professional		$157.12	$198.97	$198.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.51 / $171.51 / $253.52	Facility		$171.51	$171.51	$253.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.50 / $253.52 / $301.88	Professional		$241.50	$253.52	$301.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.39 / $265.52 / $937.40	Facility		$173.39	$265.52	$937.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.94 / $161.05 / $201.23	Professional		$96.94	$161.05	$201.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.65 / $25.36 / $25.36	Facility		$24.65	$25.36	$25.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $46.83 / $262.24	Professional		$24.65	$46.83	$262.24
United Facility/Professional Professional Modifier Low / Median / High Price $71.44 / $125.77 / $201.23	Professional		$71.44	$125.77	$201.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $207.42 / $207.42 / $207.42	Professional		$207.42	$207.42	$207.42