Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.84 / $74.61 / $93.07	Professional		$38.84	$74.61	$93.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $80.95 / $120.37	Facility		$80.95	$80.95	$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 $94.12 / $126.09 / $433.65	Facility		$94.12	$126.09	$433.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.29 / $77.93 / $106.09	Professional		$47.29	$77.93	$106.09
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 / $66.30 / $106.09	Professional		$33.84	$66.30	$106.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $98.49 / $98.49 / $98.49	Professional		$98.49	$98.49	$98.49