Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.13 / $256.76 / $303.81	Professional		$137.13	$256.76	$303.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.18 / $273.18 / $414.24	Facility		$273.18	$273.18	$414.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.88 / $414.24 / $437.34	Professional		$349.88	$414.24	$437.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $332.36 / $703.52 / $1,464.56	Facility		$332.36	$703.52	$1,464.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.00 / $263.58 / $366.17	Professional		$167.00	$263.58	$366.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $41.42 / $41.42	Facility		$41.11	$41.42	$41.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $78.20 / $428.61	Professional		$41.11	$78.20	$428.61
United Facility/Professional Professional Modifier Low / Median / High Price $112.13 / $184.51 / $366.17	Professional		$112.13	$184.51	$366.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $338.92 / $338.92 / $338.92	Professional		$338.92	$338.92	$338.92