Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.38 / $426.72 / $566.00	Professional		$210.38	$426.72	$566.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.73 / $423.43 / $611.38	Facility		$283.73	$423.43	$611.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.00 / $712.05 / $881.25	Professional		$705.00	$712.05	$881.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $509.89 / $1,169.21 / $3,331.13	Facility		$509.89	$1,169.21	$3,331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $256.30 / $505.80 / $589.57	Professional		$256.30	$505.80	$589.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $68.34 / $68.87 / $68.87	Facility		$68.34	$68.87	$68.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $129.88 / $712.31	Professional		$68.34	$129.88	$712.31
United Facility/Professional Professional Modifier Low / Median / High Price $236.44 / $505.80 / $589.57	Professional		$236.44	$505.80	$589.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $563.49 / $563.49 / $563.49	Professional		$563.49	$563.49	$563.49