Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $39.83 / $39.83	Professional		$31.44	$39.83	$39.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.79 / $27.79 / $50.58	Facility		$27.79	$27.79	$50.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $50.58 / $61.88	Professional		$49.50	$50.58	$61.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.42 / $56.58 / $199.27	Facility		$31.42	$56.58	$199.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $33.65 / $40.75	Professional		$19.38	$33.65	$40.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.04 / $5.05 / $5.05	Facility		$5.04	$5.05	$5.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $9.56 / $52.53	Professional		$5.04	$9.56	$52.53
United Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $25.47 / $40.75	Professional		$15.31	$25.47	$40.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $41.38 / $41.38	Professional		$41.38	$41.38	$41.38