Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.99 / $58.99 / $58.99	Facility		$58.99	$58.99	$58.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $54.52 / $58.99	Professional		$47.63	$54.52	$58.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.13 / $47.13 / $47.13	Facility		$47.13	$47.13	$47.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $115.14 / $142.50	Professional		$114.00	$115.14	$142.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.83 / $109.04 / $414.18	Facility		$71.83	$109.04	$414.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.99 / $67.18 / $125.67	Professional		$41.99	$67.18	$125.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $106.75 / $127.40 / $179.69	Facility		$106.75	$127.40	$179.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.58 / $127.40 / $195.76	Professional		$87.58	$127.40	$195.76
United Facility/Professional Professional Modifier Low / Median / High Price $31.16 / $59.12 / $93.83	Professional		$31.16	$59.12	$93.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $52.77 / $52.77 / $52.77	Professional		$52.77	$52.77	$52.77