Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.09 / $218.09 / $218.09	Facility		$218.09	$218.09	$218.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.57 / $218.09 / $302.39	Professional		$196.57	$218.09	$302.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.50 / $309.38 / $309.38	Professional		$247.50	$309.38	$309.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $176.04 / $332.20 / $403.92	Facility		$176.04	$332.20	$403.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.12 / $358.20 / $1,234.73	Professional		$197.12	$358.20	$1,234.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $236.87 / $358.20 / $429.99	Facility		$236.87	$358.20	$429.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $271.70 / $358.20 / $428.59	Professional		$271.70	$358.20	$428.59
United Facility/Professional Professional Modifier Low / Median / High Price $216.83 / $388.91 / $417.08	Professional		$216.83	$388.91	$417.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $156.50 / $156.50 / $156.50	Professional		$156.50	$156.50	$156.50