Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.30 / $269.66 / $804.09	Facility		$186.30	$269.66	$804.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.04 / $180.00 / $198.00	Professional		$106.04	$180.00	$198.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.50 / $286.33 / $354.38	Professional		$283.50	$286.33	$354.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.66 / $179.21 / $322.20	Facility		$100.66	$179.21	$322.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.60 / $278.48 / $917.85	Professional		$154.60	$278.48	$917.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $126.14 / $232.91 / $329.12	Facility		$126.14	$232.91	$329.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $139.25 / $331.05 / $386.88	Professional		$139.25	$331.05	$386.88
United Facility/Professional Professional Modifier Low / Median / High Price $142.11 / $247.04 / $331.53	Professional		$142.11	$247.04	$331.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $251.10 / $251.10 / $251.10	Professional		$251.10	$251.10	$251.10