Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $536.41 / $739.16 / $739.16	Professional		$536.41	$739.16	$739.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.96 / $647.96 / $980.87	Facility		$647.96	$647.96	$980.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.50 / $980.87 / $1,111.88	Professional		$889.50	$980.87	$1,111.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $657.91 / $906.55 / $3,751.53	Facility		$657.91	$906.55	$3,751.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $334.15 / $625.23 / $695.40	Professional		$334.15	$625.23	$695.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.07 / $98.09 / $98.09	Facility		$86.07	$98.09	$98.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $86.07 / $164.97 / $1,014.54	Professional		$86.07	$164.97	$1,014.54
United Facility/Professional Professional Modifier Low / Median / High Price $295.42 / $442.37 / $767.17	Professional		$295.42	$442.37	$767.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $802.53 / $802.53 / $802.53	Professional		$802.53	$802.53	$802.53