Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $131.83	Professional		$81.28	$107.15	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $117.49 / $177.83	Facility		$91.20	$117.49	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $173.78 / $194.98	Professional		$158.49	$173.78	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $181.97 / $645.65	Facility		$131.83	$181.97	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $151.36	Professional		$66.07	$81.28	$151.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $173.78	Professional		$141.25	$173.78	$173.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $162.18	Professional		$57.54	$95.50	$162.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25