Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.05 / $143.28 / $143.28	Professional		$118.05	$143.28	$143.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $100.30 / $190.49	Facility		$100.30	$100.30	$190.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.13 / $190.49 / $215.16	Professional		$172.13	$190.49	$215.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.59 / $323.45 / $719.88	Facility		$142.59	$323.45	$719.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.87 / $126.08 / $166.81	Professional		$72.87	$126.08	$166.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $19.04 / $19.04	Facility		$18.89	$19.04	$19.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $35.93 / $197.04	Professional		$18.89	$35.93	$197.04
United Facility/Professional Professional Modifier Low / Median / High Price $56.37 / $104.26 / $166.81	Professional		$56.37	$104.26	$166.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $155.85 / $155.85 / $155.85	Professional		$155.85	$155.85	$155.85