Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.72 / $435.34 / $435.34	Professional		$356.72	$435.34	$435.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.93 / $332.93 / $342.40	Facility		$332.93	$332.93	$342.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $530.25 / $656.25	Professional		$525.00	$530.25	$656.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.20 / $977.41 / $1,865.59	Facility		$54.20	$977.41	$1,865.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.81 / $320.49 / $483.02	Professional		$162.81	$320.49	$483.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $57.13 / $57.56 / $57.56	Facility		$57.13	$57.56	$57.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $108.60 / $595.45	Professional		$57.13	$108.60	$595.45
United Facility/Professional Professional Modifier Low / Median / High Price $160.25 / $320.49 / $475.02	Professional		$160.25	$320.49	$475.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $470.97 / $470.97 / $470.97	Professional		$470.97	$470.97	$470.97