Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $45.71 / $58.88	Professional		$25.12	$45.71	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $117.49	Facility		$93.33	$93.33	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $87.10	Professional		$70.79	$70.79	$87.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $83.18 / $100.00	Facility		$50.12	$83.18	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $398.11	Professional		$33.88	$42.66	$398.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $72.44 / $72.44	Professional		$66.07	$72.44	$72.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $128.82	Professional		$66.07	$66.07	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $85.11	Professional		$28.18	$36.31	$85.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86