Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $173.00 / $173.00	Facility		$173.00	$173.00	$173.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $173.00 / $173.00	Professional		$173.00	$173.00	$173.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.02 / $263.02 / $263.02	Facility		$263.02	$263.02	$263.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.01 / $263.02 / $263.02	Professional		$192.01	$263.02	$263.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $292.37 / $474.02	Facility		$173.00	$292.37	$474.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $614.21 / $614.21 / $1,266.63	Professional		$614.21	$614.21	$1,266.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $1,266.63 / $1,266.63	Professional		$51.28	$1,266.63	$1,266.63
United Facility/Professional Professional Modifier Low / Median / High Price $614.21 / $614.21 / $614.21	Professional		$614.21	$614.21	$614.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,038.08 / $1,038.08 / $1,038.08	Professional		$1,038.08	$1,038.08	$1,038.08