Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $119.00 / $119.00	Professional		$119.00	$119.00	$119.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Facility		$29.38	$29.38	$29.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $29.38 / $36.72	Professional		$18.59	$29.38	$36.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $42.63 / $112.04	Facility		$18.02	$42.63	$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 $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00