Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $34.13 / $50.28	Professional		$18.97	$34.13	$50.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $25.20 / $61.24	Facility		$25.20	$25.20	$61.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.63 / $63.25 / $78.28	Professional		$62.63	$63.25	$78.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.42 / $71.70 / $258.33	Facility		$45.42	$71.70	$258.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $39.78 / $48.33	Professional		$21.57	$39.78	$48.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.82 / $5.69 / $5.69	Facility		$4.82	$5.69	$5.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $9.23 / $63.34	Professional		$4.82	$9.23	$63.34
United Facility/Professional Professional Modifier Low / Median / High Price $19.26 / $30.21 / $48.33	Professional		$19.26	$30.21	$48.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $50.10 / $50.10	Professional		$50.10	$50.10	$50.10