Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $524.81	Professional		$323.59	$436.52	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $724.44	Facility		$467.74	$467.74	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $707.95 / $776.25	Professional		$616.60	$707.95	$776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $741.31 / $2,570.40	Facility		$549.54	$741.31	$2,570.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $316.23 / $616.60	Professional		$275.42	$316.23	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $707.95	Professional		$575.44	$691.83	$707.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $389.05 / $630.96	Professional		$229.09	$389.05	$630.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44