Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.00 / $194.00 / $194.00	Professional		$194.00	$194.00	$194.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.84 / $54.84 / $54.84	Facility		$54.84	$54.84	$54.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $54.84 / $68.54	Professional		$34.69	$54.84	$68.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.72 / $82.11 / $112.04	Facility		$34.72	$82.11	$112.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $21.76 / $36.08	Professional		$12.27	$21.76	$36.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $35.17 / $40.27 / $44.10	Facility		$35.17	$40.27	$44.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.17 / $40.27 / $62.85	Professional		$35.17	$40.27	$62.85
United Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $14.51 / $28.73	Professional		$10.07	$14.51	$28.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20