Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.72 / $26.72 / $26.72	Facility		$26.72	$26.72	$26.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $24.70 / $26.72	Professional		$21.57	$24.70	$26.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.06 / $30.06 / $30.06	Facility		$30.06	$30.06	$30.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.13 / $40.53 / $50.16	Professional		$40.13	$40.53	$50.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $49.40 / $187.60	Facility		$32.53	$49.40	$187.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.02 / $30.43 / $56.93	Professional		$19.02	$30.43	$56.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.36 / $57.69 / $81.38	Facility		$48.36	$57.69	$81.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.18 / $57.69 / $88.67	Professional		$43.18	$57.69	$88.67
United Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $26.57 / $38.25	Professional		$14.11	$26.57	$38.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $45.22 / $45.22	Professional		$45.22	$45.22	$45.22