Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.19 / $78.79 / $95.51	Professional		$40.19	$78.79	$95.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.38 / $66.38 / $127.13	Facility		$66.38	$66.38	$127.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.38 / $127.13 / $142.97	Professional		$114.38	$127.13	$142.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.78 / $166.94 / $476.10	Facility		$95.78	$166.94	$476.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.94 / $83.65 / $111.72	Professional		$48.94	$83.65	$111.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.63 / $12.72 / $12.72	Facility		$12.63	$12.72	$12.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $23.98 / $131.51	Professional		$12.63	$23.98	$131.51
United Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $69.83 / $111.72	Professional		$37.20	$69.83	$111.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $104.01 / $104.01	Professional		$104.01	$104.01	$104.01