Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.70 / $65.70 / $65.70	Facility		$65.70	$65.70	$65.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $65.70 / $70.37	Professional		$65.70	$65.70	$70.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $168.75	Facility		$135.00	$135.00	$168.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $98.11 / $112.97	Professional		$90.38	$98.11	$112.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.63 / $119.03 / $130.25	Facility		$100.63	$119.03	$130.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $94.83 / $555.50	Professional		$47.42	$94.83	$555.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $101.26 / $118.23 / $231.89	Facility		$101.26	$118.23	$231.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $101.26 / $156.91	Professional		$98.11	$101.26	$156.91
United Facility/Professional Professional Modifier Low / Median / High Price $39.52 / $59.38 / $98.96	Professional		$39.52	$59.38	$98.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.13 / $107.13 / $107.13	Professional		$107.13	$107.13	$107.13