Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.26 / $288.49 / $356.66	Professional		$268.26	$288.49	$356.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.62 / $330.59 / $432.91	Facility		$267.62	$330.59	$432.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.88 / $450.33 / $557.34	Professional		$445.88	$450.33	$557.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $334.72 / $453.36 / $1,807.28	Facility		$334.72	$453.36	$1,807.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.33 / $318.72 / $370.50	Professional		$160.33	$318.72	$370.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.97 / $43.30 / $43.30	Facility		$42.97	$43.30	$43.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.97 / $81.65 / $447.74	Professional		$42.97	$81.65	$447.74
United Facility/Professional Professional Modifier Low / Median / High Price $149.38 / $231.56 / $370.50	Professional		$149.38	$231.56	$370.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $354.20 / $354.20 / $354.20	Professional		$354.20	$354.20	$354.20