Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $152.00 / $152.00	Professional		$152.00	$152.00	$152.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.75 / $58.75 / $58.75	Facility		$58.75	$58.75	$58.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $58.75 / $73.44	Professional		$37.17	$58.75	$73.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.90 / $56.52 / $112.04	Facility		$23.90	$56.52	$112.04
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 / $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