Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $139.76 / $170.59	Professional		$73.28	$139.76	$170.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.25 / $150.25 / $225.49	Facility		$150.25	$150.25	$225.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.50 / $225.49 / $253.13	Professional		$202.50	$225.49	$253.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $174.63 / $382.94 / $821.01	Facility		$174.63	$382.94	$821.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.24 / $145.11 / $197.50	Professional		$89.24	$145.11	$197.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.56 / $22.56	Facility		$22.39	$22.56	$22.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $42.58 / $233.28	Professional		$22.39	$42.58	$233.28
United Facility/Professional Professional Modifier Low / Median / High Price $63.12 / $123.44 / $197.50	Professional		$63.12	$123.44	$197.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $184.49 / $184.49 / $184.49	Professional		$184.49	$184.49	$184.49