Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $127.09 / $127.09	Facility		$45.89	$127.09	$127.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $127.09 / $255.85	Professional		$45.89	$127.09	$255.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,476.18 / $1,476.18 / $1,476.18	Professional		$1,476.18	$1,476.18	$1,476.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.23 / $214.78 / $511.70	Facility		$77.23	$214.78	$511.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,476.18 / $1,476.18 / $1,476.18	Facility		$1,476.18	$1,476.18	$1,476.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $219.78 / $1,340.48 / $1,476.18	Professional		$219.78	$1,340.48	$1,476.18
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $230.40 / $279.20 / $279.20	Professional		$230.40	$279.20	$279.20