Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.42 / $123.42 / $123.42	Facility		$123.42	$123.42	$123.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.98 / $142.19 / $165.00	Professional		$118.98	$142.19	$165.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.50 / $249.98 / $309.38	Professional		$247.50	$249.98	$309.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.63 / $201.08 / $252.45	Facility		$103.63	$201.08	$252.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.53 / $263.76 / $858.36	Professional		$147.53	$263.76	$858.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $134.06 / $263.94 / $284.92	Facility		$134.06	$263.94	$284.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $180.02 / $325.52 / $332.66	Professional		$180.02	$325.52	$332.66
United Facility/Professional Professional Modifier Low / Median / High Price $144.78 / $227.79 / $329.08	Professional		$144.78	$227.79	$329.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00