Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.74 / $125.29 / $125.29	Professional		$99.74	$125.29	$125.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $160.94	Facility		$45.00	$45.00	$160.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.38 / $160.94 / $191.72	Professional		$153.38	$160.94	$191.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.56 / $168.62 / $615.09	Facility		$102.56	$168.62	$615.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.81 / $106.07 / $130.63	Professional		$60.81	$106.07	$130.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $16.13 / $16.13	Facility		$16.00	$16.13	$16.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $30.40 / $166.46	Professional		$16.00	$30.40	$166.46
United Facility/Professional Professional Modifier Low / Median / High Price $47.58 / $81.64 / $130.63	Professional		$47.58	$81.64	$130.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $131.69 / $131.69 / $131.69	Professional		$131.69	$131.69	$131.69