Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $22.69 / $22.69	Facility		$22.69	$22.69	$22.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $20.97 / $22.69	Professional		$18.32	$20.97	$22.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.94 / $54.94 / $54.94	Facility		$54.94	$54.94	$54.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.13 / $42.66 / $43.67	Professional		$34.13	$42.66	$43.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.61 / $41.94 / $159.28	Facility		$27.61	$41.94	$159.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $25.84 / $49.01	Professional		$16.14	$25.84	$49.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $41.06 / $49.01 / $69.11	Facility		$41.06	$49.01	$69.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $49.65 / $81.95	Professional		$36.65	$49.65	$81.95
United Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $22.74 / $36.09	Professional		$11.98	$22.74	$36.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $216.88 / $216.88 / $216.88	Professional		$216.88	$216.88	$216.88