Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $86.45 / $108.42	Professional		$37.47	$86.45	$108.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.09 / $97.09 / $139.50	Facility		$97.09	$97.09	$139.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.38 / $139.50 / $165.47	Professional		$132.38	$139.50	$165.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.28 / $170.30 / $530.95	Facility		$89.28	$170.30	$530.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $92.33 / $112.55	Professional		$52.94	$92.33	$112.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.85 / $13.96 / $13.96	Facility		$13.85	$13.96	$13.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $26.32 / $144.28	Professional		$13.85	$26.32	$144.28
United Facility/Professional Professional Modifier Low / Median / High Price $41.12 / $64.63 / $112.55	Professional		$41.12	$64.63	$112.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.14 / $114.14 / $114.14	Professional		$114.14	$114.14	$114.14