Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.17 / $20.17 / $20.17	Facility		$20.17	$20.17	$20.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $18.64 / $20.17	Professional		$16.28	$18.64	$20.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.60 / $27.60 / $27.60	Facility		$27.60	$27.60	$27.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $30.68 / $37.97	Professional		$30.38	$30.68	$37.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $37.28 / $141.59	Facility		$24.56	$37.28	$141.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $22.97 / $42.96	Professional		$14.36	$22.97	$42.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.50 / $43.55 / $61.44	Facility		$36.50	$43.55	$61.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $43.55 / $66.94	Professional		$29.94	$43.55	$66.94
United Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $20.21 / $28.87	Professional		$10.65	$20.21	$28.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22