Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.04 / $384.49 / $384.49	Professional		$322.04	$384.49	$384.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.97 / $265.97 / $519.61	Facility		$265.97	$265.97	$519.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.63 / $519.61 / $565.78	Professional		$452.63	$519.61	$565.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $400.96 / $882.39 / $1,908.97	Facility		$400.96	$882.39	$1,908.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $201.47 / $336.20 / $456.78	Professional		$201.47	$336.20	$456.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $51.58 / $51.96 / $51.96	Facility		$51.58	$51.96	$51.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.58 / $98.08 / $537.54	Professional		$51.58	$98.08	$537.54
United Facility/Professional Professional Modifier Low / Median / High Price $146.84 / $285.49 / $456.78	Professional		$146.84	$285.49	$456.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $425.13 / $425.13 / $425.13	Professional		$425.13	$425.13	$425.13