Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.14 / $50.05 / $50.05	Professional		$38.14	$50.05	$50.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $35.11 / $61.53	Facility		$35.11	$35.11	$61.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.88 / $62.49 / $77.34	Professional		$61.88	$62.49	$77.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.46 / $104.50 / $251.92	Facility		$46.46	$104.50	$251.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $44.73 / $52.79	Professional		$23.75	$44.73	$52.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $6.16 / $6.16	Facility		$6.11	$6.16	$6.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $11.60 / $63.65	Professional		$6.11	$11.60	$63.65
United Facility/Professional Professional Modifier Low / Median / High Price $22.37 / $44.73 / $61.25	Professional		$22.37	$44.73	$61.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.35 / $50.35 / $50.35	Professional		$50.35	$50.35	$50.35