Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.80 / $141.34 / $200.72	Facility		$52.80	$141.34	$200.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.82 / $44.88 / $52.80	Professional		$43.82	$44.88	$52.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $67.50 / $84.38	Professional		$67.50	$67.50	$84.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.07 / $80.31 / $132.02	Facility		$52.07	$80.31	$132.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $50.16 / $55.18	Professional		$50.16	$50.16	$55.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.20 / $75.13 / $119.78	Facility		$61.20	$75.13	$119.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.13 / $76.12 / $125.67	Professional		$75.13	$76.12	$125.67
United Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $50.16 / $55.18	Professional		$50.16	$50.16	$55.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $75.70 / $75.70	Professional		$75.70	$75.70	$75.70