Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $156.00 / $156.00	Professional		$156.00	$156.00	$156.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.93 / $18.93 / $18.93	Facility		$18.93	$18.93	$18.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $18.93 / $23.66	Professional		$11.98	$18.93	$23.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $44.46 / $112.04	Facility		$18.80	$44.46	$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