Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.78 / $392.85 / $463.82	Professional		$215.78	$392.85	$463.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.87 / $400.87 / $633.73	Facility		$400.87	$400.87	$633.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.88 / $633.73 / $658.59	Professional		$526.88	$633.73	$658.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $522.95 / $1,076.41 / $2,147.32	Facility		$522.95	$1,076.41	$2,147.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $262.76 / $392.13 / $560.69	Professional		$262.76	$392.13	$560.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $62.92 / $63.38 / $63.38	Facility		$62.92	$63.38	$63.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $119.74 / $655.85	Professional		$62.92	$119.74	$655.85
United Facility/Professional Professional Modifier Low / Median / High Price $196.07 / $414.79 / $560.69	Professional		$196.07	$414.79	$560.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $518.51 / $518.51 / $518.51	Professional		$518.51	$518.51	$518.51