Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $39.61 / $53.51	Professional		$22.30	$39.61	$53.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.42 / $44.42 / $63.75	Facility		$44.42	$44.42	$63.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.87 / $77.63 / $97.03	Professional		$73.87	$77.63	$97.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $88.51 / $317.39	Facility		$45.96	$88.51	$317.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $46.18 / $58.23	Professional		$27.17	$46.18	$58.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.55 / $6.57 / $6.57	Facility		$6.55	$6.57	$6.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $12.55 / $66.23	Professional		$6.55	$12.55	$66.23
United Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $36.39 / $48.19	Professional		$22.64	$36.39	$48.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $52.16 / $52.16 / $52.16	Professional		$52.16	$52.16	$52.16