Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.44 / $185.70 / $185.70	Professional		$136.44	$185.70	$185.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.15 / $83.15 / $239.66	Facility		$83.15	$83.15	$239.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.75 / $239.66 / $285.94	Professional		$228.75	$239.66	$285.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.26 / $230.58 / $970.44	Facility		$155.26	$230.58	$970.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $159.03 / $176.88	Professional		$84.63	$159.03	$176.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $23.94 / $23.94	Facility		$21.88	$23.94	$23.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $41.95 / $249.05	Professional		$21.88	$41.95	$249.05
United Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $113.43 / $176.88	Professional		$76.59	$113.43	$176.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $196.08 / $196.08 / $196.08	Professional		$196.08	$196.08	$196.08