Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.79 / $81.93 / $97.21	Professional		$46.79	$81.93	$97.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.37 / $81.37 / $132.15	Facility		$81.37	$81.37	$132.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.50 / $132.15 / $136.88	Professional		$109.50	$132.15	$136.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.52 / $224.49 / $435.85	Facility		$111.52	$224.49	$435.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.44 / $79.20 / $116.93	Professional		$55.44	$79.20	$116.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $13.22 / $13.22	Facility		$13.13	$13.22	$13.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $24.98 / $136.78	Professional		$13.13	$24.98	$136.78
United Facility/Professional Professional Modifier Low / Median / High Price $31.43 / $79.20 / $116.93	Professional		$31.43	$79.20	$116.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $108.13 / $108.13	Professional		$108.13	$108.13	$108.13