Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.79 / $357.61 / $357.61	Facility		$323.79	$357.61	$357.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.82 / $353.60 / $417.41	Professional		$289.82	$353.60	$417.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.25 / $525.96 / $554.05	Professional		$443.25	$525.96	$554.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $419.34 / $832.34 / $1,918.67	Facility		$419.34	$832.34	$1,918.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $315.01 / $523.91 / $916.36	Professional		$315.01	$523.91	$916.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $430.88 / $525.96 / $832.34	Facility		$430.88	$525.96	$832.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $430.88 / $434.13 / $832.34	Professional		$430.88	$434.13	$832.34
United Facility/Professional Professional Modifier Low / Median / High Price $315.01 / $466.95 / $769.95	Professional		$315.01	$466.95	$769.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Professional		$250.00	$250.00	$250.00