Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.91 / $107.62 / $107.62	Professional		$88.91	$107.62	$107.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.67 / $74.67 / $143.47	Facility		$74.67	$74.67	$143.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.25 / $143.47 / $160.31	Professional		$128.25	$143.47	$160.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.79 / $160.22 / $535.95	Facility		$93.79	$160.22	$535.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.63 / $94.46 / $116.31	Professional		$55.63	$94.46	$116.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $14.36 / $14.36	Facility		$14.26	$14.36	$14.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $27.10 / $148.41	Professional		$14.26	$27.10	$148.41
United Facility/Professional Professional Modifier Low / Median / High Price $41.90 / $96.21 / $110.75	Professional		$41.90	$96.21	$110.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $117.39 / $117.39 / $117.39	Professional		$117.39	$117.39	$117.39