Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.33 / $212.33 / $212.33	Facility		$212.33	$212.33	$212.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.83 / $200.83 / $212.33	Professional		$200.83	$200.83	$212.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.50 / $259.07 / $320.63	Professional		$256.50	$259.07	$320.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.83 / $290.04 / $358.84	Facility		$33.83	$290.04	$358.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.65 / $303.89 / $1,215.19	Professional		$173.65	$303.89	$1,215.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $233.13 / $307.39 / $509.08	Facility		$233.13	$307.39	$509.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $202.80 / $307.39 / $326.05	Professional		$202.80	$307.39	$326.05
United Facility/Professional Professional Modifier Low / Median / High Price $195.05 / $316.95 / $365.72	Professional		$195.05	$316.95	$365.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $53.70 / $53.70	Professional		$45.60	$53.70	$53.70