Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $81.28	Professional		$51.29	$70.79	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $169.82	Facility		$134.90	$134.90	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $112.20	Professional		$91.20	$91.20	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $120.23 / $141.25	Facility		$70.79	$120.23	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $549.54	Professional		$47.86	$58.88	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $102.33	Professional		$97.72	$102.33	$102.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $120.23	Professional		$39.81	$50.12	$120.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15