Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.61 / $1,829.01 / $1,829.01	Facility		$80.61	$1,829.01	$1,829.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.79 / $57.79 / $80.61	Professional		$57.79	$57.79	$80.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.25 / $101.25 / $126.56	Professional		$101.25	$101.25	$126.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.27 / $144.69 / $277.23	Facility		$6.27	$144.69	$277.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $527.63 / $527.63 / $527.63	Facility		$527.63	$527.63	$527.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $479.13 / $527.63 / $539.24	Professional		$479.13	$527.63	$539.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $144.32 / $144.32 / $144.32	Professional		$144.32	$144.32	$144.32