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 $33.95 / $33.95 / $33.95	Facility		$33.95	$33.95	$33.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $33.95 / $42.43	Professional		$21.48	$33.95	$42.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.97 / $42.51 / $112.04	Facility		$17.97	$42.51	$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