Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.39 / $117.59 / $117.59	Professional		$86.39	$117.59	$117.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.94 / $78.94 / $139.01	Facility		$78.94	$78.94	$139.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.88 / $150.36 / $186.09	Professional		$148.88	$150.36	$186.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.36 / $146.00 / $599.70	Facility		$86.36	$146.00	$599.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $100.69 / $110.39	Professional		$51.20	$100.69	$110.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.90 / $13.90 / $13.96	Facility		$13.90	$13.90	$13.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $26.56 / $145.59	Professional		$13.96	$26.56	$145.59
United Facility/Professional Professional Modifier Low / Median / High Price $49.21 / $68.98 / $110.39	Professional		$49.21	$68.98	$110.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $113.73 / $113.73 / $113.73	Professional		$113.73	$113.73	$113.73