Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.12 / $166.12 / $166.12	Facility		$166.12	$166.12	$166.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.12 / $153.56 / $166.12	Professional		$134.12	$153.56	$166.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.68 / $210.68 / $210.68	Facility		$210.68	$210.68	$210.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.82 / $401.63 / $502.03	Professional		$351.82	$401.63	$502.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $202.26 / $307.12 / $1,166.45	Facility		$202.26	$307.12	$1,166.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.26 / $189.21 / $353.93	Professional		$118.26	$189.21	$353.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $300.64 / $358.75 / $506.01	Facility		$300.64	$358.75	$506.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $268.44 / $358.75 / $551.29	Professional		$268.44	$358.75	$551.29
United Facility/Professional Professional Modifier Low / Median / High Price $87.74 / $190.26 / $245.13	Professional		$87.74	$190.26	$245.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $216.88 / $216.88 / $216.88	Professional		$216.88	$216.88	$216.88