Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $33.11 / $33.11	Facility		$12.02	$33.11	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $30.90 / $53.70	Professional		$14.13	$30.90	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $57.54	Professional		$45.71	$45.71	$57.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $41.69 / $66.07	Facility		$23.99	$41.69	$66.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $27.54 / $46.77	Professional		$18.62	$27.54	$46.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.88 / $41.69	Professional		$27.54	$33.88	$41.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $32.36 / $46.77	Professional		$19.50	$32.36	$46.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $24.55 / $25.12	Professional		$20.89	$24.55	$25.12