Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.00 / $91.00 / $91.00	Facility		$91.00	$91.00	$91.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.47 / $84.12 / $91.00	Professional		$73.47	$84.12	$91.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $56.50 / $56.50	Facility		$56.50	$56.50	$56.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.88 / $138.24 / $171.09	Professional		$136.88	$138.24	$171.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.80 / $168.24 / $638.99	Facility		$110.80	$168.24	$638.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $103.65 / $196.53	Professional		$64.78	$103.65	$196.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $164.70 / $196.53 / $277.19	Facility		$164.70	$196.53	$277.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.05 / $199.13 / $301.99	Professional		$147.05	$199.13	$301.99
United Facility/Professional Professional Modifier Low / Median / High Price $48.07 / $91.20 / $132.41	Professional		$48.07	$91.20	$132.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $216.88 / $216.88 / $216.88	Professional		$216.88	$216.88	$216.88