Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.28 / $175.28 / $175.28	Facility		$175.28	$175.28	$175.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.28 / $175.28 / $347.19	Professional		$175.28	$175.28	$347.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.25 / $141.65 / $175.31	Professional		$140.25	$141.65	$175.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $241.93 / $347.19 / $951.30	Facility		$241.93	$347.19	$951.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $118.97 / $118.97 / $118.97	Facility		$118.97	$118.97	$118.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $108.03 / $118.97 / $122.50	Professional		$108.03	$118.97	$122.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $125.77 / $125.77 / $125.77	Professional		$125.77	$125.77	$125.77