Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $724.44	Professional		$446.68	$537.03	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $954.99	Facility		$275.42	$275.42	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $933.25 / $1,122.02	Professional		$891.25	$933.25	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $851.14 / $3,630.78	Facility		$616.60	$851.14	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $371.54 / $660.69	Professional		$295.12	$371.54	$660.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $870.96 / $933.25	Professional		$776.25	$870.96	$933.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $851.14	Professional		$295.12	$407.38	$851.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25