Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.51 / $61.51 / $61.51	Facility		$61.51	$61.51	$61.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.66 / $56.86 / $86.44	Professional		$49.66	$56.86	$86.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $37.95 / $37.95	Facility		$37.95	$37.95	$37.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.63 / $93.55 / $115.78	Professional		$92.63	$93.55	$115.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.33 / $131.19 / $431.88	Facility		$72.33	$131.19	$431.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $70.06 / $131.04	Professional		$43.79	$70.06	$131.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $111.31 / $132.83 / $187.36	Facility		$111.31	$132.83	$187.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.32 / $132.83 / $204.11	Professional		$91.32	$132.83	$204.11
United Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $61.15 / $104.19	Professional		$43.79	$61.15	$104.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.60 / $59.60 / $59.60	Professional		$59.60	$59.60	$59.60