Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $160.00	Professional		$160.00	$160.00	$160.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.25 / $35.25 / $35.25	Facility		$35.25	$35.25	$35.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $35.25 / $44.06	Professional		$22.30	$35.25	$44.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.39 / $48.24 / $112.04	Facility		$20.39	$48.24	$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 / $25.52	Professional		$10.07	$14.51	$25.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $25.10 / $25.10	Professional		$25.10	$25.10	$25.10