Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.22 / $26.22 / $26.22	Facility		$26.22	$26.22	$26.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $24.23 / $26.22	Professional		$21.17	$24.23	$26.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.29 / $30.29 / $30.29	Facility		$30.29	$30.29	$30.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.52 / $66.75 / $83.44	Professional		$55.52	$66.75	$83.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.92 / $48.46 / $184.09	Facility		$31.92	$48.46	$184.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $29.86 / $56.62	Professional		$18.66	$29.86	$56.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.45 / $56.62 / $79.84	Facility		$47.45	$56.62	$79.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.36 / $56.92 / $87.01	Professional		$42.36	$56.92	$87.01
United Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $26.27 / $37.53	Professional		$13.85	$26.27	$37.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $45.22 / $45.22	Professional		$45.22	$45.22	$45.22