Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $34.44 / $34.44	Professional		$25.49	$34.44	$34.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.94 / $24.94 / $41.03	Facility		$24.94	$24.94	$41.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $44.31 / $54.84	Professional		$43.88	$44.31	$54.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.57 / $54.89 / $177.61	Facility		$29.57	$54.89	$177.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $29.72 / $35.27	Professional		$17.48	$29.72	$35.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Facility		$4.09	$4.09	$4.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $7.79 / $42.64	Professional		$4.09	$7.79	$42.64
United Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $22.04 / $35.27	Professional		$14.57	$22.04	$35.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $33.57 / $33.57	Professional		$33.57	$33.57	$33.57