Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Facility		$57.67	$57.67	$57.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Professional		$57.67	$57.67	$57.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $18.75	Facility		$15.00	$15.00	$18.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $10.13 / $12.66	Professional		$10.13	$10.13	$12.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.06 / $97.46 / $158.02	Facility		$97.06	$97.46	$158.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.91 / $83.89 / $139.81	Professional		$69.91	$83.89	$139.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $150.16 / $150.16 / $150.16	Professional		$150.16	$150.16	$150.16
United Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $69.91 / $139.81	Professional		$41.94	$69.91	$139.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $22.10 / $22.10	Professional		$22.10	$22.10	$22.10