Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.57 / $297.44 / $297.44	Professional		$214.57	$297.44	$297.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.43 / $244.43 / $398.90	Facility		$244.43	$244.43	$398.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.88 / $398.90 / $448.59	Professional		$358.88	$398.90	$448.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.18 / $362.62 / $1,550.44	Facility		$263.18	$362.62	$1,550.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.06 / $250.11 / $278.16	Professional		$125.06	$250.11	$278.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $34.43 / $39.90 / $39.90	Facility		$34.43	$39.90	$39.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $65.98 / $412.58	Professional		$34.43	$65.98	$412.58
United Facility/Professional Professional Modifier Low / Median / High Price $119.98 / $177.84 / $309.45	Professional		$119.98	$177.84	$309.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $326.38 / $326.38 / $326.38	Professional		$326.38	$326.38	$326.38