Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.88 / $113.09 / $113.09	Professional		$90.88	$113.09	$113.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.15 / $78.15 / $146.65	Facility		$78.15	$78.15	$146.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $146.65 / $172.50	Professional		$138.00	$146.65	$172.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.34 / $153.59 / $560.90	Facility		$93.34	$153.59	$560.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $96.83 / $119.03	Professional		$55.35	$96.83	$119.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.54 / $14.66 / $14.66	Facility		$14.54	$14.66	$14.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $27.65 / $151.69	Professional		$14.54	$27.65	$151.69
United Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $67.78 / $119.03	Professional		$43.49	$67.78	$119.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $119.99 / $119.99 / $119.99	Professional		$119.99	$119.99	$119.99