Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.78 / $636.71 / $636.71	Professional		$486.78	$636.71	$636.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.88 / $450.88 / $654.26	Facility		$450.88	$450.88	$654.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $774.10 / $798.75 / $998.44	Professional		$774.10	$798.75	$998.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.51 / $1,333.78 / $3,564.78	Facility		$71.51	$1,333.78	$3,564.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $284.85 / $546.10 / $631.01	Professional		$284.85	$546.10	$631.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.11 / $78.33 / $78.33	Facility		$78.11	$78.33	$78.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $78.11 / $149.68 / $814.03	Professional		$78.11	$149.68	$814.03
United Facility/Professional Professional Modifier Low / Median / High Price $252.96 / $394.38 / $631.01	Professional		$252.96	$394.38	$631.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $640.89 / $640.89 / $640.89	Professional		$640.89	$640.89	$640.89