Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.76 / $57.01 / $57.01	Professional		$42.76	$57.01	$57.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $40.36 / $69.00	Facility		$40.36	$40.36	$69.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.63 / $72.34 / $89.53	Professional		$71.63	$72.34	$89.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.59 / $81.79 / $289.64	Facility		$50.59	$81.79	$289.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $50.84 / $59.02	Professional		$25.85	$50.84	$59.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.87 / $6.92 / $6.92	Facility		$6.87	$6.92	$6.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $13.06 / $71.36	Professional		$6.87	$13.06	$71.36
United Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $50.84 / $81.38	Professional		$23.94	$50.84	$81.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $56.46 / $56.46 / $56.46	Professional		$56.46	$56.46	$56.46