Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $124.17 / $124.17	Professional		$107.30	$124.17	$124.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.42 / $96.42 / $146.77	Facility		$96.42	$96.42	$146.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.50 / $156.05 / $193.13	Professional		$154.50	$156.05	$193.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.18 / $181.34 / $671.07	Facility		$91.18	$181.34	$671.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.48 / $110.95 / $125.07	Professional		$55.48	$110.95	$125.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.75 / $14.75 / $16.17	Facility		$14.75	$14.75	$16.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $29.15 / $153.74	Professional		$15.35	$29.15	$153.74
United Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $110.95 / $133.43	Professional		$52.12	$110.95	$133.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $120.09 / $120.09 / $120.09	Professional		$120.09	$120.09	$120.09