Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $44.23 / $44.23	Professional		$35.47	$44.23	$44.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $40.22 / $57.24	Facility		$30.64	$40.22	$57.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $57.24 / $67.50	Professional		$54.00	$57.24	$67.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $59.96 / $219.96	Facility		$36.22	$59.96	$219.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $37.92 / $46.48	Professional		$20.48	$37.92	$46.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.68 / $5.72 / $5.72	Facility		$5.68	$5.72	$5.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.68 / $10.80 / $59.22	Professional		$5.68	$10.80	$59.22
United Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $29.05 / $46.48	Professional		$17.10	$29.05	$46.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.84 / $46.84 / $46.84	Professional		$46.84	$46.84	$46.84