Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.21 / $80.31 / $96.93	Professional		$42.21	$80.31	$96.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.12 / $87.12 / $129.59	Facility		$87.12	$87.12	$129.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.38 / $129.59 / $142.97	Professional		$114.38	$129.59	$142.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.63 / $220.08 / $473.38	Facility		$100.63	$220.08	$473.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $83.12 / $114.20	Professional		$51.41	$83.12	$114.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $12.95 / $12.95	Facility		$12.86	$12.95	$12.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $24.44 / $134.08	Professional		$12.86	$24.44	$134.08
United Facility/Professional Professional Modifier Low / Median / High Price $41.56 / $86.66 / $114.20	Professional		$41.56	$86.66	$114.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $106.03 / $106.03 / $106.03	Professional		$106.03	$106.03	$106.03