Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.43 / $106.44 / $148.88	Facility		$51.43	$106.44	$148.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $54.62	Professional		$42.13	$42.13	$54.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $93.42 / $116.77	Professional		$59.10	$93.42	$116.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.43 / $61.76 / $143.86	Facility		$51.43	$61.76	$143.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $25.33 / $110.19	Professional		$22.03	$25.33	$110.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.72 / $70.03 / $143.86	Facility		$61.72	$70.03	$143.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $55.97 / $70.03 / $110.19	Professional		$55.97	$70.03	$110.19
United Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $22.98 / $143.09	Professional		$22.03	$22.98	$143.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $42.60 / $42.60	Professional		$33.65	$42.60	$42.60