Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.26 / $79.58 / $87.19	Professional		$46.26	$79.58	$87.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.92 / $76.92 / $116.70	Facility		$76.92	$76.92	$116.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.50 / $116.70 / $125.63	Professional		$100.50	$116.70	$125.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.32 / $200.54 / $411.79	Facility		$95.32	$200.54	$411.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $75.68 / $112.67	Professional		$49.59	$75.68	$112.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $12.51 / $13.72	Facility		$12.51	$12.51	$13.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $24.40 / $120.76	Professional		$12.88	$24.40	$120.76
United Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $64.37 / $112.67	Professional		$30.01	$64.37	$112.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $95.48 / $95.48 / $95.48	Professional		$95.48	$95.48	$95.48