Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $57.54 / $67.61	Professional		$41.69	$57.54	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $95.50	Facility		$45.71	$45.71	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $97.72	Professional		$79.43	$93.33	$97.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $97.72 / $331.13	Facility		$72.44	$97.72	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $41.69 / $81.28	Professional		$37.15	$41.69	$81.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $93.33	Professional		$75.86	$91.20	$93.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $51.29 / $81.28	Professional		$30.20	$51.29	$81.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86