Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $106.44 / $148.88	Facility		$42.13	$106.44	$148.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $76.51 / $95.64	Professional		$48.40	$76.51	$95.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $54.48 / $143.86	Facility		$42.13	$54.48	$143.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $25.33 / $96.90	Professional		$22.03	$25.33	$96.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $50.59 / $70.03 / $143.86	Facility		$50.59	$70.03	$143.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $70.69 / $110.19	Professional		$50.56	$70.69	$110.19
United Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $22.98 / $83.36	Professional		$22.48	$22.98	$83.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.28 / $42.13 / $42.13	Professional		$33.28	$42.13	$42.13