Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.83 / $196.83 / $196.83	Facility		$196.83	$196.83	$196.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.46 / $173.21 / $198.41	Professional		$157.46	$173.21	$198.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.47 / $305.63 / $382.03	Professional		$291.47	$305.63	$382.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $266.12 / $320.66 / $519.89	Facility		$266.12	$320.66	$519.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $171.94 / $301.67 / $1,176.10	Professional		$171.94	$301.67	$1,176.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $196.29 / $308.32 / $469.14	Facility		$196.29	$308.32	$469.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $196.29 / $282.27 / $348.29	Professional		$196.29	$282.27	$348.29
United Facility/Professional Professional Modifier Low / Median / High Price $159.52 / $287.14 / $356.20	Professional		$159.52	$287.14	$356.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $195.80 / $237.30 / $237.30	Professional		$195.80	$237.30	$237.30