Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.46 / $309.23 / $372.22	Professional		$166.46	$309.23	$372.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.36 / $326.36 / $498.87	Facility		$326.36	$326.36	$498.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.88 / $498.87 / $538.59	Professional		$430.88	$498.87	$538.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $403.45 / $847.29 / $1,749.66	Facility		$403.45	$847.29	$1,749.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.72 / $311.92 / $440.82	Professional		$202.72	$311.92	$440.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $49.53 / $49.89 / $49.89	Facility		$49.53	$49.89	$49.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.53 / $94.19 / $516.21	Professional		$49.53	$94.19	$516.21
United Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $275.51 / $440.82	Professional		$131.00	$275.51	$440.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $408.17 / $408.17 / $408.17	Professional		$408.17	$408.17	$408.17