Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $346.74	Professional		$144.54	$173.78	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $173.78	Professional		$141.25	$141.25	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $346.74 / $691.83	Facility		$239.88	$346.74	$691.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $181.97	Professional		$144.54	$144.54	$181.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89