Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.39 / $376.39 / $376.39	Facility		$376.39	$376.39	$376.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $65.91 / $376.39	Professional		$65.91	$65.91	$376.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.54 / $247.54 / $247.54	Professional		$247.54	$247.54	$247.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $111.39 / $636.10	Facility		$65.91	$111.39	$636.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $247.54 / $247.54 / $247.54	Facility		$247.54	$247.54	$247.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $224.78 / $247.54 / $253.41	Professional		$224.78	$247.54	$253.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $425.82 / $425.82 / $425.82	Professional		$425.82	$425.82	$425.82