Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.97 / $46.97 / $46.97	Facility		$46.97	$46.97	$46.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.97 / $46.97 / $50.33	Professional		$46.97	$46.97	$50.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.50 / $93.50 / $116.88	Facility		$93.50	$93.50	$116.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.13 / $70.61 / $87.66	Professional		$70.13	$70.61	$87.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.97 / $85.06 / $93.10	Facility		$71.97	$85.06	$93.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $67.86 / $397.13	Professional		$33.93	$67.86	$397.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $70.17 / $82.41 / $165.85	Facility		$70.17	$82.41	$165.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.79 / $72.38 / $97.36	Professional		$66.79	$72.38	$97.36
United Facility/Professional Professional Modifier Low / Median / High Price $28.28 / $42.49 / $70.81	Professional		$28.28	$42.49	$70.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $76.66 / $76.66 / $76.66	Professional		$76.66	$76.66	$76.66