Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.00 / $196.00 / $196.00	Professional		$196.00	$196.00	$196.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.92 / $50.92 / $50.92	Facility		$50.92	$50.92	$50.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $50.92 / $63.65	Professional		$32.21	$50.92	$63.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $58.78 / $171.00	Facility		$24.86	$58.78	$171.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $21.76 / $37.14	Professional		$12.63	$21.76	$37.14
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 / $21.76 / $31.60	Professional		$10.07	$21.76	$31.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $25.10 / $25.10	Professional		$25.10	$25.10	$25.10