Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.11 / $61.82 / $84.08	Professional		$28.11	$61.82	$84.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.12 / $74.12 / $105.94	Facility		$74.12	$74.12	$105.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.13 / $105.94 / $128.91	Professional		$103.13	$105.94	$128.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.14 / $117.07 / $405.24	Facility		$68.14	$117.07	$405.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.25 / $65.66 / $75.12	Professional		$37.25	$65.66	$75.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.44 / $10.53 / $10.53	Facility		$10.44	$10.53	$10.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $19.85 / $109.58	Professional		$10.44	$19.85	$109.58
United Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $46.95 / $75.12	Professional		$30.53	$46.95	$75.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $86.68 / $86.68 / $86.68	Professional		$86.68	$86.68	$86.68