Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $120.89 / $169.10	Facility		$62.14	$120.89	$169.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.01 / $47.85 / $47.85	Professional		$41.01	$47.85	$47.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $112.93 / $141.16	Professional		$71.45	$112.93	$141.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $80.19 / $165.91	Facility		$62.14	$80.19	$165.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $37.28 / $142.91	Professional		$37.28	$37.28	$142.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.56 / $108.75 / $136.18	Facility		$74.56	$108.75	$136.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $108.75 / $136.18	Professional		$74.56	$108.75	$136.18
United Facility/Professional Facility Modifier Low / Median / High Price $93.21 / $93.21 / $93.21	Facility		$93.21	$93.21	$93.21
United Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $37.28 / $127.23	Professional		$37.28	$37.28	$127.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $49.09 / $62.14 / $62.14	Professional		$49.09	$62.14	$62.14