Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $363.08	Professional		$218.78	$295.12	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $489.78	Facility		$316.23	$316.23	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $478.63 / $549.54	Professional		$436.52	$478.63	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $512.86 / $1,737.80	Facility		$371.54	$512.86	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $426.58	Professional		$190.55	$218.78	$426.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $478.63	Professional		$398.11	$478.63	$478.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $446.68	Professional		$154.88	$263.03	$446.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11