Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $144.54	Professional		$89.13	$117.49	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $194.98	Facility		$100.00	$100.00	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $213.80	Professional		$173.78	$190.55	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $199.53 / $724.44	Facility		$141.25	$199.53	$724.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $165.96	Professional		$72.44	$89.13	$165.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $190.55	Professional		$158.49	$190.55	$190.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $104.71 / $173.78	Professional		$63.10	$104.71	$173.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88