Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.04 / $75.31 / $75.31	Professional		$58.04	$75.31	$75.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.80 / $46.80 / $98.41	Facility		$46.80	$46.80	$98.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.25 / $98.41 / $115.31	Professional		$92.25	$98.41	$115.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.74 / $103.62 / $380.20	Facility		$61.74	$103.62	$380.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $64.15 / $75.23	Professional		$36.61	$64.15	$75.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.32 / $9.85 / $9.85	Facility		$9.32	$9.85	$9.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $17.82 / $101.78	Professional		$9.32	$17.82	$101.78
United Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $66.18 / $91.33	Professional		$32.08	$66.18	$91.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $80.51 / $80.51 / $80.51	Professional		$80.51	$80.51	$80.51