Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.73 / $157.91 / $157.91	Professional		$115.73	$157.91	$157.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.53 / $70.53 / $211.18	Facility		$70.53	$70.53	$211.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $211.18 / $236.72	Professional		$189.38	$211.18	$236.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.94 / $195.58 / $802.71	Facility		$141.94	$195.58	$802.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $134.88 / $150.02	Professional		$67.45	$134.88	$150.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $21.12 / $21.12	Facility		$18.57	$21.12	$21.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $35.61 / $218.42	Professional		$18.57	$35.61	$218.42
United Facility/Professional Professional Modifier Low / Median / High Price $63.40 / $93.77 / $150.02	Professional		$63.40	$93.77	$150.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $172.78 / $172.78 / $172.78	Professional		$172.78	$172.78	$172.78