Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $33.11 / $41.69	Professional		$16.98	$33.11	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $83.18	Facility		$66.07	$66.07	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $91.20	Professional		$72.44	$72.44	$91.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $58.88 / $70.79	Facility		$35.48	$58.88	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $281.84	Professional		$23.99	$30.20	$281.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $51.29 / $51.29	Professional		$46.77	$51.29	$51.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $91.20	Professional		$46.77	$46.77	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $60.26	Professional		$19.95	$25.70	$60.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95