Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $39.90 / $50.18	Professional		$17.41	$39.90	$50.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $26.10 / $65.87	Facility		$26.10	$26.10	$65.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.75 / $65.87 / $75.94	Professional		$60.75	$65.87	$75.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.21 / $109.33 / $252.49	Facility		$42.21	$109.33	$252.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $42.05 / $46.52	Professional		$22.33	$42.05	$46.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.56 / $6.61 / $6.61	Facility		$6.56	$6.61	$6.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $12.47 / $70.59	Professional		$6.56	$12.47	$70.59
United Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $29.08 / $46.52	Professional		$19.79	$29.08	$46.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.89 / $53.89 / $53.89	Professional		$53.89	$53.89	$53.89