Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.35 / $851.73 / $1,013.40	Facility		$433.35	$851.73	$1,013.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.74 / $317.60 / $317.60	Professional		$207.74	$317.60	$317.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.25 / $140.25 / $175.31	Professional		$140.25	$140.25	$175.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $207.74 / $395.62 / $569.21	Facility		$207.74	$395.62	$569.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $200.62 / $200.62 / $200.62	Facility		$200.62	$200.62	$200.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $200.62 / $205.37	Professional		$182.18	$200.62	$205.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $182.00 / $182.00	Professional		$182.00	$182.00	$182.00