Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.86 / $182.86 / $182.86	Facility		$182.86	$182.86	$182.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.86 / $182.86 / $183.77	Professional		$182.86	$182.86	$183.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.30 / $6.56	Professional		$5.25	$5.30	$6.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $183.77 / $310.57 / $503.53	Facility		$183.77	$310.57	$503.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.56 / $111.40 / $111.40	Professional		$53.56	$111.40	$111.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $152.21 / $152.21 / $152.21	Facility		$152.21	$152.21	$152.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.56 / $138.22 / $152.21	Professional		$53.56	$138.22	$152.21
United Facility/Professional Professional Modifier Low / Median / High Price $111.40 / $111.40 / $111.40	Professional		$111.40	$111.40	$111.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $44.60 / $44.60	Professional		$44.60	$44.60	$44.60