Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $50.79 / $50.79	Professional		$37.60	$50.79	$50.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $36.74 / $60.51	Facility		$36.74	$36.74	$60.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.88 / $65.52 / $81.09	Professional		$64.88	$65.52	$81.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.60 / $76.73 / $261.19	Facility		$43.60	$76.73	$261.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $43.83 / $52.20	Professional		$22.29	$43.83	$52.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.04 / $6.05 / $6.05	Facility		$6.04	$6.05	$6.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $11.52 / $62.88	Professional		$6.04	$11.52	$62.88
United Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $32.63 / $52.20	Professional		$21.49	$32.63	$52.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $49.51 / $49.51 / $49.51	Professional		$49.51	$49.51	$49.51