Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.38 / $16.38 / $16.38	Facility		$16.38	$16.38	$16.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $15.15 / $16.38	Professional		$13.23	$15.15	$16.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.09 / $28.09 / $28.09	Facility		$28.09	$28.09	$28.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $28.09 / $30.94	Professional		$24.75	$28.09	$30.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.94 / $30.30 / $115.05	Facility		$19.94	$30.30	$115.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $18.66 / $35.38	Professional		$11.67	$18.66	$35.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.65 / $35.38 / $49.92	Facility		$29.65	$35.38	$49.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $35.86 / $59.19	Professional		$26.48	$35.86	$59.19
United Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $16.42 / $23.46	Professional		$8.66	$16.42	$23.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $184.73 / $184.73 / $184.73	Professional		$184.73	$184.73	$184.73