Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $42.42 / $48.99	Professional		$24.10	$42.42	$48.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.50 / $41.50 / $68.42	Facility		$41.50	$41.50	$68.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $67.50 / $68.42	Professional		$54.00	$67.50	$68.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.39 / $116.23 / $222.30	Facility		$58.39	$116.23	$222.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $41.85 / $60.77	Professional		$29.30	$41.85	$60.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.81 / $6.85 / $6.85	Facility		$6.81	$6.85	$6.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $12.97 / $70.83	Professional		$6.81	$12.97	$70.83
United Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $39.42 / $60.77	Professional		$16.86	$39.42	$60.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $55.98 / $55.98	Professional		$55.98	$55.98	$55.98