Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.03 / $85.03 / $85.03	Facility		$85.03	$85.03	$85.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.03 / $85.03 / $197.44	Professional		$85.03	$85.03	$197.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $721.96 / $721.96 / $721.96	Professional		$721.96	$721.96	$721.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $225.87 / $281.33 / $456.13	Facility		$225.87	$281.33	$456.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $721.96 / $721.96 / $721.96	Facility		$721.96	$721.96	$721.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $655.59 / $721.96 / $741.02	Professional		$655.59	$721.96	$741.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $75.95 / $75.95	Professional		$75.95	$75.95	$75.95