Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.86 / $177.86 / $204.83	Professional		$103.86	$177.86	$204.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.59 / $123.59 / $286.85	Facility		$123.59	$123.59	$286.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.38 / $277.97 / $282.42	Professional		$222.38	$277.97	$282.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.71 / $487.34 / $886.11	Facility		$251.71	$487.34	$886.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.52 / $169.90 / $252.95	Professional		$111.52	$169.90	$252.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.11 / $26.11 / $28.55	Facility		$26.11	$26.11	$28.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $50.92 / $296.95	Professional		$26.89	$50.92	$296.95
United Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $144.13 / $252.95	Professional		$65.59	$144.13	$252.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $234.69 / $234.69 / $234.69	Professional		$234.69	$234.69	$234.69