Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $67.61 / $75.86	Professional		$43.65	$67.61	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $117.49	Facility		$57.54	$57.54	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $93.33	Professional		$75.86	$93.33	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $128.82 / $309.03	Facility		$109.65	$128.82	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $102.33	Professional		$39.81	$54.95	$102.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $57.54 / $102.33	Professional		$30.90	$57.54	$102.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33