Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.41 / $617.41 / $617.41	Facility		$617.41	$617.41	$617.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $617.41 / $617.41	Professional		$15.00	$617.41	$617.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.79 / $198.79 / $198.79	Professional		$198.79	$198.79	$198.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.45 / $41.10 / $1,234.83	Facility		$21.45	$41.10	$1,234.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $198.79 / $198.79 / $198.79	Facility		$198.79	$198.79	$198.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $180.51 / $198.79 / $204.17	Professional		$180.51	$198.79	$204.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $777.49 / $777.49 / $777.49	Professional		$777.49	$777.49	$777.49