Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $5.81 / $631.16	Professional		$5.81	$5.81	$631.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.28 / $171.28 / $643.20	Professional		$171.28	$171.28	$643.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.82 / $631.16 / $1,262.33	Facility		$9.82	$631.16	$1,262.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $643.20 / $643.20 / $643.20	Facility		$643.20	$643.20	$643.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $584.05 / $643.20 / $659.34	Professional		$584.05	$643.20	$659.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $699.72 / $699.72 / $699.72	Professional		$699.72	$699.72	$699.72