Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $142.11 / $173.85	Professional		$74.23	$142.11	$173.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.61 / $151.61 / $229.30	Facility		$151.61	$151.61	$229.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.50 / $229.30 / $256.88	Professional		$205.50	$229.30	$256.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $179.90 / $389.38 / $829.11	Facility		$179.90	$389.38	$829.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $144.56 / $202.19	Professional		$90.40	$144.56	$202.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.77 / $22.92 / $22.92	Facility		$22.77	$22.92	$22.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $43.28 / $237.23	Professional		$22.77	$43.28	$237.23
United Facility/Professional Professional Modifier Low / Median / High Price $61.89 / $126.37 / $202.19	Professional		$61.89	$126.37	$202.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $187.61 / $187.61 / $187.61	Professional		$187.61	$187.61	$187.61