Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.88 / $63.66 / $85.23	Professional		$30.88	$63.66	$85.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.10 / $44.10 / $108.20	Facility		$44.10	$44.10	$108.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $108.20 / $131.25	Professional		$105.00	$108.20	$131.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.72 / $138.37 / $402.15	Facility		$68.72	$138.37	$402.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $70.83 / $82.52	Professional		$38.56	$70.83	$82.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.80 / $10.80 / $11.59	Facility		$10.80	$10.80	$11.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $21.04 / $111.91	Professional		$11.13	$21.04	$111.91
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $51.58 / $82.52	Professional		$31.62	$51.58	$82.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $88.52 / $88.52 / $88.52	Professional		$88.52	$88.52	$88.52