Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.18 / $79.40 / $92.82	Professional		$44.18	$79.40	$92.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.41 / $81.41 / $128.08	Facility		$81.41	$81.41	$128.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $128.08 / $131.25	Professional		$105.00	$128.08	$131.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.33 / $217.56 / $436.04	Facility		$105.33	$217.56	$436.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.93 / $79.61 / $113.22	Professional		$52.93	$79.61	$113.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $12.80 / $12.80	Facility		$12.72	$12.80	$12.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $24.19 / $132.56	Professional		$12.72	$24.19	$132.56
United Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $70.76 / $113.22	Professional		$33.04	$70.76	$113.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $104.80 / $104.80 / $104.80	Professional		$104.80	$104.80	$104.80