Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $47.81 / $47.81	Professional		$36.60	$47.81	$47.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $43.75 / $59.07	Facility		$33.33	$43.75	$59.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.88 / $59.07 / $69.84	Professional		$55.88	$59.07	$69.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.02 / $61.85 / $238.49	Facility		$45.02	$61.85	$238.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $40.13 / $46.33	Professional		$20.07	$40.13	$46.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.85 / $5.96 / $5.96	Facility		$5.85	$5.96	$5.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $11.13 / $61.11	Professional		$5.85	$11.13	$61.11
United Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $42.73 / $55.50	Professional		$19.23	$42.73	$55.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $48.33 / $48.33 / $48.33	Professional		$48.33	$48.33	$48.33