Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.45 / $85.45 / $85.45	Facility		$85.45	$85.45	$85.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $78.98 / $85.45	Professional		$69.00	$78.98	$85.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.08 / $139.08 / $139.08	Facility		$139.08	$139.08	$139.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.75 / $225.75 / $282.19	Professional		$225.75	$225.75	$282.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.05 / $157.97 / $600.04	Facility		$104.05	$157.97	$600.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $97.33 / $184.55	Professional		$60.83	$97.33	$184.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $154.66 / $184.55 / $260.29	Facility		$154.66	$184.55	$260.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.09 / $186.99 / $283.60	Professional		$138.09	$186.99	$283.60
United Facility/Professional Professional Modifier Low / Median / High Price $45.14 / $85.64 / $124.35	Professional		$45.14	$85.64	$124.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $216.88 / $216.88 / $216.88	Professional		$216.88	$216.88	$216.88