Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $37.15 / $40.74	Professional		$32.36	$37.15	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $63.10	Professional		$45.71	$57.54	$63.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $38.02 / $77.62	Facility		$25.70	$38.02	$77.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $69.18 / $251.19	Professional		$37.15	$69.18	$251.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $91.20	Professional		$77.62	$91.20	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $81.28	Professional		$33.88	$44.67	$81.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88