Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $115.00 / $115.00	Professional		$115.00	$115.00	$115.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.99 / $31.99 / $31.99	Facility		$31.99	$31.99	$31.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $31.99 / $39.97	Professional		$20.23	$31.99	$39.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.02 / $37.89 / $112.04	Facility		$16.02	$37.89	$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 $10.16 / $21.76 / $31.60	Professional		$10.16	$21.76	$31.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $17.30 / $17.30	Professional		$17.30	$17.30	$17.30