Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.29 / $565.32 / $648.35	Professional		$316.29	$565.32	$648.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.79 / $459.79 / $587.99	Facility		$459.79	$459.79	$587.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $724.99 / $900.00	Professional		$720.00	$724.99	$900.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.70 / $1,548.98 / $3,203.72	Facility		$96.70	$1,548.98	$3,203.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $290.43 / $490.10 / $820.40	Professional		$290.43	$490.10	$820.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $90.55 / $91.19 / $91.19	Facility		$90.55	$91.19	$91.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $172.31 / $943.74	Professional		$90.55	$172.31	$943.74
United Facility/Professional Professional Modifier Low / Median / High Price $241.00 / $490.10 / $820.40	Professional		$241.00	$490.10	$820.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $746.10 / $746.10 / $746.10	Professional		$746.10	$746.10	$746.10