Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $25.05 / $25.05	Professional		$19.87	$25.05	$25.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $17.30 / $32.08	Facility		$17.30	$17.30	$32.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $32.08 / $38.44	Professional		$30.75	$32.08	$38.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.11 / $33.58 / $124.16	Facility		$20.11	$33.58	$124.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $21.25 / $25.97	Professional		$11.58	$21.25	$25.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.19 / $3.19	Facility		$3.16	$3.19	$3.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $6.03 / $33.17	Professional		$3.16	$6.03	$33.17
United Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $14.88 / $25.97	Professional		$9.61	$14.88	$25.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.24 / $26.24 / $26.24	Professional		$26.24	$26.24	$26.24