Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $50.12	Professional		$30.90	$38.90	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $63.10	Facility		$35.48	$35.48	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $64.57 / $79.43	Professional		$63.10	$64.57	$79.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $64.57 / $251.19	Facility		$46.77	$64.57	$251.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $31.62 / $52.48	Professional		$23.44	$31.62	$52.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $61.66 / $61.66	Professional		$50.12	$61.66	$61.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.11 / $63.10	Professional		$22.39	$33.11	$63.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12