Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $51.45 / $62.74	Professional		$23.18	$51.45	$62.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.77 / $55.77 / $83.01	Facility		$55.77	$55.77	$83.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.63 / $83.01 / $93.28	Professional		$74.63	$83.01	$93.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.23 / $93.56 / $304.95	Facility		$55.23	$93.56	$304.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $52.86 / $67.22	Professional		$32.77	$52.86	$67.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.22 / $8.28 / $8.28	Facility		$8.22	$8.28	$8.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $15.66 / $85.87	Professional		$8.22	$15.66	$85.87
United Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $56.09 / $67.22	Professional		$22.73	$56.09	$67.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $67.91 / $67.91	Professional		$67.91	$67.91	$67.91