Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.06 / $197.90 / $209.78	Professional		$123.06	$197.90	$209.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.65 / $169.65 / $319.10	Facility		$169.65	$169.65	$319.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.75 / $259.69 / $263.83	Professional		$207.75	$259.69	$263.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $298.24 / $542.25 / $908.34	Facility		$298.24	$542.25	$908.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $185.31 / $299.70	Professional		$129.72	$185.31	$299.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.70 / $31.90 / $31.90	Facility		$31.70	$31.90	$31.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $60.38 / $330.48	Professional		$31.70	$60.38	$330.48
United Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $185.31 / $299.70	Professional		$68.06	$185.31	$299.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $261.08 / $261.08 / $261.08	Professional		$261.08	$261.08	$261.08