Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.16 / $82.16 / $82.16	Facility		$82.16	$82.16	$82.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.97 / $69.97 / $82.16	Professional		$69.97	$69.97	$82.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.50 / $256.50 / $320.63	Professional		$256.50	$256.50	$320.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.97 / $118.25 / $138.85	Facility		$69.97	$118.25	$138.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.65 / $303.89 / $847.90	Professional		$173.65	$303.89	$847.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $93.64 / $141.84 / $307.39	Facility		$93.64	$141.84	$307.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $96.16 / $161.19 / $307.39	Professional		$96.16	$161.19	$307.39
United Facility/Professional Professional Modifier Low / Median / High Price $183.98 / $298.95 / $344.96	Professional		$183.98	$298.95	$344.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $90.60 / $90.60	Professional		$77.00	$90.60	$90.60