Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $151.36	Professional		$104.71	$134.90	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $177.83	Facility		$97.72	$97.72	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $234.42	Professional		$186.21	$186.21	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $186.21 / $758.58	Facility		$158.49	$186.21	$758.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $93.33 / $154.88	Professional		$77.62	$93.33	$154.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $177.83	Professional		$173.78	$173.78	$177.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $181.97	Professional		$66.07	$93.33	$181.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54