Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $23.00 / $23.00	Facility		$23.00	$23.00	$23.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $29.90 / $37.01	Professional		$23.00	$29.90	$37.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $27.30 / $48.25	Facility		$27.30	$27.30	$48.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.63 / $48.25 / $55.78	Professional		$44.63	$48.25	$55.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.47 / $59.95 / $182.85	Facility		$36.47	$59.95	$182.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $21.67 / $34.65	Professional		$15.58	$21.67	$34.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $4.84 / $5.62	Facility		$4.84	$4.84	$5.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $6.25 / $49.90	Professional		$4.96	$6.25	$49.90
United Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $21.59 / $46.43	Professional		$14.44	$21.59	$46.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $39.47 / $39.47	Professional		$39.47	$39.47	$39.47