Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $12.26 / $16.73	Professional		$12.26	$12.26	$16.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $20.45 / $28.15	Professional		$14.57	$20.45	$28.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.94 / $20.87 / $33.84	Facility		$13.94	$20.87	$33.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $11.48 / $139.58	Professional		$9.51	$11.48	$139.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $28.85 / $40.69	Facility		$21.48	$28.85	$40.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.59 / $28.85 / $36.97	Professional		$21.59	$28.85	$36.97
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $10.82 / $19.13	Professional		$7.06	$10.82	$19.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.20 / $1.20	Professional		$1.20	$1.20	$1.20