Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.96 / $540.96 / $540.96	Facility		$540.96	$540.96	$540.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.04 / $540.96 / $540.96	Professional		$356.04	$540.96	$540.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.96 / $159.96 / $159.96	Professional		$159.96	$159.96	$159.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $356.04 / $916.12 / $1,212.90	Facility		$356.04	$916.12	$1,212.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $159.96 / $159.96 / $159.96	Facility		$159.96	$159.96	$159.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $145.25 / $159.96 / $163.33	Professional		$145.25	$159.96	$163.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $485.37 / $485.37 / $485.37	Professional		$485.37	$485.37	$485.37