Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $41.40 / $55.18	Professional		$20.21	$41.40	$55.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.06 / $51.26 / $66.80	Facility		$39.06	$51.26	$66.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $69.69 / $86.25	Professional		$69.00	$69.69	$86.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.01 / $113.44 / $280.24	Facility		$49.01	$113.44	$280.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $49.23 / $57.15	Professional		$24.62	$49.23	$57.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.63 / $6.68 / $6.68	Facility		$6.63	$6.68	$6.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $12.60 / $69.09	Professional		$6.63	$12.60	$69.09
United Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $29.59 / $57.15	Professional		$23.17	$29.59	$57.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $54.66 / $54.66 / $54.66	Professional		$54.66	$54.66	$54.66