Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.01 / $56.19 / $56.19	Professional		$42.01	$56.19	$56.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.90 / $39.90 / $67.79	Facility		$39.90	$39.90	$67.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $71.58 / $88.59	Professional		$70.88	$71.58	$88.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.39 / $83.47 / $286.32	Facility		$49.39	$83.47	$286.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $49.61 / $57.96	Professional		$25.24	$49.61	$57.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $6.78 / $6.78	Facility		$6.71	$6.78	$6.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $12.77 / $70.12	Professional		$6.71	$12.77	$70.12
United Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $36.22 / $57.96	Professional		$23.68	$36.22	$57.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $55.47	Professional		$55.47	$55.47	$55.47