Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.16 / $144.76 / $188.28	Professional		$72.16	$144.76	$188.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $112.00 / $175.42	Facility		$112.00	$112.00	$175.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.67 / $221.25 / $276.56	Professional		$207.67	$221.25	$276.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $284.00 / $955.82	Facility		$21.76	$284.00	$955.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.88 / $116.08 / $207.13	Professional		$54.88	$116.08	$207.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.05 / $25.23 / $25.23	Facility		$25.05	$25.23	$25.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $47.65 / $261.10	Professional		$25.05	$47.65	$261.10
United Facility/Professional Professional Modifier Low / Median / High Price $54.88 / $108.02 / $207.13	Professional		$54.88	$108.02	$207.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $206.46 / $206.46 / $206.46	Professional		$206.46	$206.46	$206.46