Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $158.49	Professional		$100.00	$117.49	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $213.80	Facility		$70.79	$70.79	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $239.88	Professional		$190.55	$208.93	$239.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $194.98 / $794.33	Facility		$141.25	$194.98	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $151.36	Professional		$67.61	$81.28	$151.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $208.93	Professional		$173.78	$173.78	$208.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $165.96	Professional		$67.61	$93.33	$165.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78