Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.77 / $109.56 / $151.82	Professional		$102.77	$109.56	$151.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.45 / $98.45 / $176.31	Facility		$98.45	$98.45	$176.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.00 / $186.00 / $232.50	Professional		$186.00	$186.00	$232.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $160.28 / $300.19 / $752.92	Facility		$160.28	$300.19	$752.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $133.04 / $156.52	Professional		$78.26	$133.04	$156.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.63 / $17.63 / $17.63	Facility		$17.63	$17.63	$17.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $18.28 / $33.65	Professional		$18.28	$18.28	$33.65
United Facility/Professional Professional Modifier Low / Median / High Price $53.22 / $93.91 / $156.52	Professional		$53.22	$93.91	$156.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $144.25 / $144.25 / $144.25	Professional		$144.25	$144.25	$144.25