Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $29.85 / $29.85	Professional		$23.74	$29.85	$29.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.20 / $27.20 / $38.31	Facility		$27.20	$27.20	$38.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $38.31 / $45.94	Professional		$36.75	$38.31	$45.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $40.11 / $148.63	Facility		$23.99	$40.11	$148.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $25.46 / $31.06	Professional		$13.86	$25.46	$31.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $3.82 / $3.82	Facility		$3.78	$3.82	$3.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $7.20 / $39.61	Professional		$3.78	$7.20	$39.61
United Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $25.46 / $41.60	Professional		$11.54	$25.46	$41.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $31.35 / $31.35	Professional		$31.35	$31.35	$31.35