Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $75.86 / $87.10	Professional		$52.48	$75.86	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $81.28 / $114.82	Facility		$60.26	$81.28	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $112.20 / $134.90	Professional		$109.65	$112.20	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $131.83 / $436.52	Facility		$85.11	$131.83	$436.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $100.00	Professional		$42.66	$52.48	$100.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $112.20	Professional		$93.33	$112.20	$112.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $61.66 / $109.65	Professional		$37.15	$61.66	$109.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33