Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.93 / $513.33 / $513.33	Professional		$425.93	$513.33	$513.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.71 / $358.71 / $687.28	Facility		$358.71	$358.71	$687.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.38 / $687.28 / $765.47	Professional		$612.38	$687.28	$765.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $519.36 / $1,167.05 / $2,574.69	Facility		$519.36	$1,167.05	$2,574.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $260.95 / $450.03 / $602.99	Professional		$260.95	$450.03	$602.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $68.73 / $68.73	Facility		$68.20	$68.73	$68.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $129.66 / $710.94	Professional		$68.20	$129.66	$710.94
United Facility/Professional Professional Modifier Low / Median / High Price $199.45 / $376.87 / $602.99	Professional		$199.45	$376.87	$602.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $562.32 / $562.32 / $562.32	Professional		$562.32	$562.32	$562.32