Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $30.08 / $30.08	Professional		$22.60	$30.08	$30.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $21.27 / $36.47	Facility		$21.27	$21.27	$36.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.88 / $46.88	Professional		$37.50	$37.88	$46.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.82 / $61.92 / $152.57	Facility		$26.82	$61.92	$152.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $26.88 / $31.20	Professional		$13.70	$26.88	$31.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.62 / $3.64 / $3.64	Facility		$3.62	$3.64	$3.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $6.87 / $37.71	Professional		$3.62	$6.87	$37.71
United Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $26.88 / $37.34	Professional		$13.44	$26.88	$37.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $29.84	Professional		$29.84	$29.84	$29.84