Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.32 / $38.32 / $38.32	Facility		$38.32	$38.32	$38.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $35.42 / $38.32	Professional		$30.94	$35.42	$38.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.68 / $49.68 / $49.68	Facility		$49.68	$49.68	$49.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $58.33 / $72.19	Professional		$57.75	$58.33	$72.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.64 / $70.84 / $269.04	Facility		$46.64	$70.84	$269.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.28 / $43.64 / $81.63	Professional		$27.28	$43.64	$81.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $82.76 / $116.71	Facility		$69.34	$82.76	$116.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.92 / $82.76 / $127.15	Professional		$56.92	$82.76	$127.15
United Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $38.40 / $60.95	Professional		$20.23	$38.40	$60.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $45.22 / $45.22	Professional		$45.22	$45.22	$45.22