Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.38 / $38.38 / $38.38	Facility		$38.38	$38.38	$38.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $27.75 / $38.38	Professional		$21.50	$27.75	$38.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $35.63 / $35.63	Professional		$28.50	$35.63	$35.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $38.00 / $54.34	Facility		$21.50	$38.00	$54.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.12 / $48.20 / $149.71	Professional		$26.12	$48.20	$149.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.73 / $37.56 / $52.99	Facility		$28.73	$37.56	$52.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $37.56 / $57.72	Professional		$1.20	$37.56	$57.72
United Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $48.20 / $62.50	Professional		$27.50	$48.20	$62.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00