Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.22 / $54.22 / $54.22	Facility		$54.22	$54.22	$54.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $49.68 / $54.22	Professional		$45.75	$49.68	$54.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.93 / $60.46 / $86.84	Professional		$51.93	$60.46	$86.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.68 / $89.01 / $226.83	Facility		$49.68	$89.01	$226.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.78 / $82.36 / $293.12	Professional		$53.78	$82.36	$293.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $60.46 / $80.40 / $119.42	Facility		$60.46	$80.40	$119.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $66.48 / $98.71	Professional		$22.98	$66.48	$98.71
United Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $82.36 / $107.56	Professional		$48.52	$82.36	$107.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $17.80 / $18.50	Professional		$15.10	$17.80	$18.50