Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $41.75 / $51.86	Professional		$21.49	$41.75	$51.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $34.40 / $67.34	Facility		$34.40	$34.40	$67.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.88 / $67.34 / $77.34	Professional		$61.88	$67.34	$77.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.09 / $114.40 / $247.01	Facility		$52.09	$114.40	$247.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $42.64 / $59.14	Professional		$26.17	$42.64	$59.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.69 / $6.74 / $6.74	Facility		$6.69	$6.74	$6.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $12.73 / $69.68	Professional		$6.69	$12.73	$69.68
United Facility/Professional Professional Modifier Low / Median / High Price $18.42 / $36.96 / $59.14	Professional		$18.42	$36.96	$59.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $55.11 / $55.11 / $55.11	Professional		$55.11	$55.11	$55.11