Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.49 / $81.05 / $99.16	Professional		$37.49	$81.05	$99.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.14 / $87.14 / $130.76	Facility		$87.14	$87.14	$130.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.88 / $130.76 / $144.84	Professional		$115.88	$130.76	$144.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.86 / $166.94 / $476.05	Facility		$90.86	$166.94	$476.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $74.23 / $97.28	Professional		$42.02	$74.23	$97.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.78 / $12.87 / $12.87	Facility		$12.78	$12.87	$12.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $24.28 / $135.31	Professional		$12.78	$24.28	$135.31
United Facility/Professional Professional Modifier Low / Median / High Price $32.25 / $60.80 / $97.28	Professional		$32.25	$60.80	$97.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $106.98 / $106.98 / $106.98	Professional		$106.98	$106.98	$106.98