Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $23.56 / $30.75	Professional		$11.97	$23.56	$30.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $28.68 / $38.02	Facility		$21.85	$28.68	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $38.25 / $47.34	Professional		$37.88	$38.25	$47.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.03 / $53.22 / $155.56	Facility		$29.03	$53.22	$155.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $25.87 / $29.84	Professional		$14.58	$25.87	$29.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $3.81 / $3.81	Facility		$3.78	$3.81	$3.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $7.20 / $39.33	Professional		$3.78	$7.20	$39.33
United Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $18.64 / $29.84	Professional		$12.16	$18.64	$29.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $31.10 / $31.10	Professional		$31.10	$31.10	$31.10