Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.72 / $308.72 / $308.72	Facility		$308.72	$308.72	$308.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.72 / $308.72 / $333.97	Professional		$308.72	$308.72	$333.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.99 / $635.99 / $635.99	Professional		$635.99	$635.99	$635.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $477.58 / $769.66 / $915.08	Facility		$477.58	$769.66	$915.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $635.99 / $635.99 / $635.99	Facility		$635.99	$635.99	$635.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $577.51 / $635.99 / $650.92	Professional		$577.51	$635.99	$650.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $397.13 / $397.13 / $397.13	Professional		$397.13	$397.13	$397.13