Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.84 / $69.72 / $86.06	Professional		$35.84	$69.72	$86.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.52 / $75.52 / $112.49	Facility		$75.52	$75.52	$112.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.75 / $112.49 / $128.44	Professional		$102.75	$112.49	$128.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.87 / $117.83 / $413.01	Facility		$86.87	$117.83	$413.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $70.84 / $99.09	Professional		$43.65	$70.84	$99.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.17 / $11.26 / $11.26	Facility		$11.17	$11.26	$11.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $21.24 / $116.38	Professional		$11.17	$21.24	$116.38
United Facility/Professional Professional Modifier Low / Median / High Price $30.54 / $61.93 / $99.09	Professional		$30.54	$61.93	$99.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $92.03 / $92.03	Professional		$92.03	$92.03	$92.03