Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $74.61 / $93.07	Professional		$65.34	$74.61	$93.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.36 / $79.36 / $120.37	Facility		$79.36	$79.36	$120.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $120.37 / $138.75	Professional		$111.00	$120.37	$138.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.06 / $126.09 / $433.65	Facility		$86.06	$126.09	$433.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.81 / $77.93 / $95.62	Professional		$47.81	$77.93	$95.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.95 / $12.03 / $12.03	Facility		$11.95	$12.03	$12.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $22.73 / $124.52	Professional		$11.95	$22.73	$124.52
United Facility/Professional Professional Modifier Low / Median / High Price $33.84 / $56.90 / $95.62	Professional		$33.84	$56.90	$95.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $98.49 / $98.49 / $98.49	Professional		$98.49	$98.49	$98.49