Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.73 / $114.73 / $114.73	Facility		$114.73	$114.73	$114.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $114.73 / $114.73	Professional		$56.40	$114.73	$114.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $225.20	Professional		$1.62	$1.62	$225.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.89 / $183.66 / $251.61	Facility		$94.89	$183.66	$251.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $225.20 / $225.20 / $225.20	Facility		$225.20	$225.20	$225.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.50 / $225.20 / $231.79	Professional		$204.50	$225.20	$231.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $71.09 / $71.09	Professional		$71.09	$71.09	$71.09