Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $154.88	Professional		$93.33	$123.03	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $204.17	Facility		$112.20	$112.20	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $199.53 / $245.47	Professional		$194.98	$199.53	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $208.93 / $776.25	Facility		$144.54	$208.93	$776.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $93.33 / $173.78	Professional		$72.44	$93.33	$173.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $199.53	Professional		$165.96	$199.53	$199.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $194.98	Professional		$67.61	$109.65	$194.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18