Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $42.64 / $42.64	Professional		$31.57	$42.64	$42.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $28.37 / $50.80	Facility		$28.37	$28.37	$50.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.75 / $52.27 / $64.69	Professional		$51.75	$52.27	$64.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.56 / $58.25 / $204.80	Facility		$31.56	$58.25	$204.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $32.64 / $38.40	Professional		$17.79	$32.64	$38.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $5.09 / $5.09	Facility		$4.24	$5.09	$5.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $9.75 / $52.80	Professional		$5.08	$9.75	$52.80
United Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $23.04 / $38.40	Professional		$15.34	$23.04	$38.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.56 / $41.56 / $41.56	Professional		$41.56	$41.56	$41.56