Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $73.39 / $73.39	Professional		$59.95	$73.39	$73.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.69 / $48.69 / $96.72	Facility		$48.69	$48.69	$96.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.63 / $96.72 / $108.28	Professional		$86.63	$96.72	$108.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $164.26 / $349.46	Facility		$75.97	$164.26	$349.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.82 / $61.28 / $85.08	Professional		$38.82	$61.28	$85.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.58 / $9.66 / $9.66	Facility		$9.58	$9.66	$9.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $18.23 / $100.07	Professional		$9.58	$18.23	$100.07
United Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $61.28 / $85.08	Professional		$26.07	$61.28	$85.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $79.14 / $79.14	Professional		$79.14	$79.14	$79.14