Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.43 / $412.43 / $412.43	Facility		$412.43	$412.43	$412.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.86 / $412.43 / $429.48	Professional		$280.86	$412.43	$429.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.30 / $192.30 / $192.30	Professional		$192.30	$192.30	$192.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $280.86 / $561.72 / $769.56	Facility		$280.86	$561.72	$769.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $192.30 / $192.30 / $192.30	Facility		$192.30	$192.30	$192.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $174.63 / $192.30 / $198.17	Professional		$174.63	$192.30	$198.17
United Facility/Professional Professional Modifier Low / Median / High Price $119.39 / $119.39 / $119.39	Professional		$119.39	$119.39	$119.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $205.39 / $205.39 / $205.39	Professional		$205.39	$205.39	$205.39