Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.96 / $171.96 / $171.96	Facility		$171.96	$171.96	$171.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.96 / $171.96 / $332.76	Professional		$171.96	$171.96	$332.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.35 / $463.35 / $463.35	Professional		$463.35	$463.35	$463.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $289.41 / $343.92 / $911.76	Facility		$289.41	$343.92	$911.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $463.35 / $463.35 / $463.35	Facility		$463.35	$463.35	$463.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $420.75 / $463.35 / $476.80	Professional		$420.75	$463.35	$476.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $242.44 / $242.44 / $242.44	Professional		$242.44	$242.44	$242.44