Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.10 / $296.10 / $296.10	Facility		$296.10	$296.10	$296.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $358.26 / $455.90	Professional		$15.74	$358.26	$455.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.39 / $318.39 / $318.39	Facility		$318.39	$318.39	$318.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.75 / $558.75 / $698.44	Professional		$558.75	$558.75	$698.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.30 / $358.26 / $981.63	Facility		$49.30	$358.26	$981.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.96 / $30.98 / $1,261.44	Professional		$20.96	$30.98	$1,261.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.79 / $58.12 / $131.02	Facility		$56.79	$58.12	$131.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.79 / $58.12 / $702.71	Professional		$56.79	$58.12	$702.71
United Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $24.24 / $1,261.44	Professional		$17.50	$24.24	$1,261.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $555.02 / $555.02 / $555.02	Professional		$555.02	$555.02	$555.02