Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.68 / $469.97 / $469.97	Professional		$393.68	$469.97	$469.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.62 / $327.62 / $340.77	Facility		$327.62	$327.62	$340.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.25 / $556.76 / $689.06	Professional		$551.25	$556.76	$689.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.20 / $1,078.68 / $1,856.74	Facility		$62.20	$1,078.68	$1,856.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.87 / $367.86 / $550.23	Professional		$186.87	$367.86	$550.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.05 / $63.53 / $63.53	Facility		$63.05	$63.53	$63.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.05 / $119.90 / $657.18	Professional		$63.05	$119.90	$657.18
United Facility/Professional Professional Modifier Low / Median / High Price $139.68 / $339.31 / $550.23	Professional		$139.68	$339.31	$550.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $519.75 / $519.75 / $519.75	Professional		$519.75	$519.75	$519.75