Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $125.89	Professional		$77.62	$107.15	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $173.78	Facility		$81.28	$81.28	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $169.82 / $181.97	Professional		$147.91	$169.82	$181.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $181.97 / $575.44	Facility		$141.25	$181.97	$575.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $72.44 / $151.36	Professional		$67.61	$72.44	$151.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $169.82	Professional		$141.25	$169.82	$169.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $95.50 / $151.36	Professional		$51.29	$95.50	$151.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25