Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $72.44	Professional		$36.31	$46.77	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $141.25	Professional		$114.82	$114.82	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $91.20 / $213.80	Facility		$67.61	$91.20	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $64.57 / $549.54	Professional		$41.69	$64.57	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $128.82 / $165.96	Professional		$114.82	$128.82	$165.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $190.55	Professional		$165.96	$165.96	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $58.88 / $91.20	Professional		$41.69	$58.88	$91.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48