Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.04 / $203.83 / $249.37	Professional		$106.04	$203.83	$249.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.29 / $218.29 / $328.88	Facility		$218.29	$218.29	$328.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.13 / $328.88 / $368.91	Professional		$295.13	$328.88	$368.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.01 / $558.49 / $1,193.68	Facility		$257.01	$558.49	$1,193.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.13 / $212.77 / $289.43	Professional		$129.13	$212.77	$289.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $32.89 / $32.89	Facility		$32.65	$32.89	$32.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $62.08 / $340.26	Professional		$32.65	$62.08	$340.26
United Facility/Professional Professional Modifier Low / Median / High Price $92.40 / $222.93 / $292.72	Professional		$92.40	$222.93	$292.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $269.08 / $269.08 / $269.08	Professional		$269.08	$269.08	$269.08