Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.43 / $168.97 / $168.97	Professional		$136.43	$168.97	$168.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $64.17 / $150.72	Facility		$64.17	$64.17	$150.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.31 / $202.50 / $253.13	Professional		$178.31	$202.50	$253.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $284.00 / $821.30	Facility		$21.50	$284.00	$821.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.86 / $115.15 / $187.60	Professional		$46.86	$115.15	$187.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $22.01 / $22.01	Facility		$21.85	$22.01	$22.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $41.56 / $227.71	Professional		$21.85	$41.56	$227.71
United Facility/Professional Professional Modifier Low / Median / High Price $46.86 / $92.23 / $187.60	Professional		$46.86	$92.23	$187.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $180.09 / $180.09 / $180.09	Professional		$180.09	$180.09	$180.09