Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $23.32 / $26.50	Professional		$11.72	$23.32	$26.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $21.26 / $37.61	Facility		$21.26	$21.26	$37.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $35.63 / $36.20	Professional		$28.50	$35.63	$36.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.40 / $61.61 / $113.86	Facility		$28.40	$61.61	$113.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $21.51 / $27.72	Professional		$10.76	$21.51	$27.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.83 / $3.86 / $3.86	Facility		$3.83	$3.86	$3.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $7.30 / $38.93	Professional		$3.83	$7.30	$38.93
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $15.08 / $27.72	Professional		$9.02	$15.08	$27.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $30.77 / $30.77	Professional		$30.77	$30.77	$30.77