Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.54 / $65.54 / $65.54	Facility		$65.54	$65.54	$65.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.92 / $60.58 / $92.29	Professional		$52.92	$60.58	$92.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $69.84 / $69.84	Facility		$69.84	$69.84	$69.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.63 / $99.61 / $123.28	Professional		$98.63	$99.61	$123.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.80 / $121.16 / $460.20	Facility		$79.80	$121.16	$460.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.66 / $74.65 / $139.63	Professional		$46.66	$74.65	$139.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $118.62 / $141.54 / $199.63	Facility		$118.62	$141.54	$199.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $141.54 / $217.51	Professional		$97.31	$141.54	$217.51
United Facility/Professional Professional Modifier Low / Median / High Price $46.66 / $75.06 / $96.72	Professional		$46.66	$75.06	$96.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $68.40 / $68.40 / $68.40	Professional		$68.40	$68.40	$68.40