Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.04 / $86.35 / $102.09	Professional		$47.04	$86.35	$102.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.97 / $88.97 / $139.28	Facility		$88.97	$88.97	$139.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.63 / $139.28 / $145.78	Professional		$116.63	$139.28	$145.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.00 / $236.60 / $476.61	Facility		$114.00	$236.60	$476.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.28 / $86.44 / $123.26	Professional		$57.28	$86.44	$123.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $13.94 / $13.94	Facility		$13.84	$13.94	$13.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $26.32 / $144.13	Professional		$13.84	$26.32	$144.13
United Facility/Professional Professional Modifier Low / Median / High Price $35.94 / $77.04 / $123.26	Professional		$35.94	$77.04	$123.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $113.96 / $113.96 / $113.96	Professional		$113.96	$113.96	$113.96