Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $107.98 / $129.54	Professional		$59.71	$107.98	$129.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.27 / $109.27 / $174.20	Facility		$109.27	$109.27	$174.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.75 / $174.20 / $184.69	Professional		$147.75	$174.20	$184.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.74 / $295.87 / $585.33	Facility		$144.74	$295.87	$585.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.72 / $106.50 / $154.22	Professional		$72.72	$106.50	$154.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $17.42 / $17.42	Facility		$17.30	$17.42	$17.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $32.94 / $180.29	Professional		$17.30	$32.94	$180.29
United Facility/Professional Professional Modifier Low / Median / High Price $43.56 / $96.39 / $154.22	Professional		$43.56	$96.39	$154.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $142.52 / $142.52 / $142.52	Professional		$142.52	$142.52	$142.52