Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.27 / $449.22 / $449.22	Professional		$339.27	$449.22	$449.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $229.50 / $547.50	Facility		$229.50	$229.50	$547.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.50 / $568.13 / $703.13	Professional		$562.50	$568.13	$703.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $400.14 / $929.60 / $2,149.42	Facility		$400.14	$929.60	$2,149.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $201.06 / $371.84 / $446.95	Professional		$201.06	$371.84	$446.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $54.34 / $54.75 / $54.75	Facility		$54.34	$54.75	$54.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.34 / $96.71 / $566.24	Professional		$54.34	$96.71	$566.24
United Facility/Professional Professional Modifier Low / Median / High Price $169.63 / $279.33 / $558.00	Professional		$169.63	$279.33	$558.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $447.96 / $447.96 / $447.96	Professional		$447.96	$447.96	$447.96