Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.39 / $320.39 / $320.39	Facility		$320.39	$320.39	$320.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.39 / $320.39 / $444.24	Professional		$320.39	$320.39	$444.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.33 / $43.33 / $43.33	Professional		$43.33	$43.33	$43.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.10 / $541.48 / $1,217.22	Facility		$426.10	$541.48	$1,217.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.33 / $43.33 / $43.33	Facility		$43.33	$43.33	$43.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.34 / $43.33 / $44.44	Professional		$39.34	$43.33	$44.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $172.20 / $172.20 / $172.20	Professional		$172.20	$172.20	$172.20