Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $24.87 / $31.92	Professional		$11.90	$24.87	$31.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.25 / $29.25 / $40.02	Facility		$29.25	$29.25	$40.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $40.15 / $49.69	Professional		$39.75	$40.15	$49.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.85 / $42.03 / $159.78	Facility		$28.85	$42.03	$159.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $26.89 / $35.34	Professional		$14.50	$26.89	$35.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $4.03 / $4.03	Facility		$4.01	$4.03	$4.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $7.65 / $41.59	Professional		$4.01	$7.65	$41.59
United Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $22.09 / $35.34	Professional		$12.28	$22.09	$35.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $32.74 / $32.74	Professional		$32.74	$32.74	$32.74