Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.67 / $38.72 / $38.72	Professional		$30.67	$38.72	$38.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $35.54 / $49.37	Facility		$35.54	$35.54	$49.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $49.37 / $60.00	Professional		$48.00	$49.37	$60.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.65 / $84.04 / $194.27	Facility		$30.65	$84.04	$194.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $32.24 / $39.77	Professional		$18.14	$32.24	$39.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $4.91 / $4.91	Facility		$4.88	$4.91	$4.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $9.31 / $51.26	Professional		$4.88	$9.31	$51.26
United Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $22.57 / $39.77	Professional		$14.56	$22.57	$39.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $40.39 / $40.39	Professional		$40.39	$40.39	$40.39