Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.65 / $111.04 / $111.04	Professional		$106.65	$111.04	$111.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.81 / $209.81 / $209.81	Professional		$209.81	$209.81	$209.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.65 / $187.66 / $292.22	Facility		$106.65	$187.66	$292.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.53 / $190.53 / $190.53	Professional		$190.53	$190.53	$190.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $209.81 / $209.81 / $209.81	Facility		$209.81	$209.81	$209.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $190.53 / $209.81 / $216.18	Professional		$190.53	$209.81	$216.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $70.05 / $70.05 / $70.05	Professional		$70.05	$70.05	$70.05