Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.29 / $261.41 / $448.40	Facility		$26.29	$261.41	$448.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $13.58 / $26.29	Professional		$13.58	$13.58	$26.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.86 / $37.86 / $37.86	Facility		$37.86	$37.86	$37.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $37.86 / $47.33	Professional		$23.95	$37.86	$47.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.14 / $30.54 / $128.00	Facility		$21.14	$30.54	$128.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $19.73 / $41.45	Professional		$14.09	$19.73	$41.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $40.65 / $48.71	Facility		$38.57	$40.65	$48.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.33 / $40.65 / $75.59	Professional		$21.33	$40.65	$75.59
United Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $17.54 / $29.23	Professional		$11.32	$17.54	$29.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $23.10 / $23.10	Professional		$18.89	$23.10	$23.10