Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.10 / $174.10 / $174.10	Facility		$174.10	$174.10	$174.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.88 / $174.10 / $249.99	Professional		$89.88	$174.10	$249.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.72 / $161.72 / $259.58	Professional		$161.72	$161.72	$259.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $249.99 / $422.48 / $684.97	Facility		$249.99	$422.48	$684.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $259.58 / $259.58 / $259.58	Facility		$259.58	$259.58	$259.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $235.71 / $259.58 / $265.42	Professional		$235.71	$259.58	$265.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $222.86 / $222.86 / $222.86	Professional		$222.86	$222.86	$222.86