Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.30 / $67.30 / $67.30	Facility		$67.30	$67.30	$67.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.34 / $62.21 / $67.30	Professional		$54.34	$62.21	$67.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.05 / $75.05 / $75.05	Facility		$75.05	$75.05	$75.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.25 / $126.56 / $128.59	Professional		$101.25	$126.56	$128.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.95 / $124.42 / $472.60	Facility		$81.95	$124.42	$472.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.91 / $76.66 / $145.33	Professional		$47.91	$76.66	$145.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $121.81 / $145.33 / $205.01	Facility		$121.81	$145.33	$205.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $108.76 / $147.25 / $243.17	Professional		$108.76	$147.25	$243.17
United Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $67.45 / $96.36	Professional		$35.54	$67.45	$96.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $326.89 / $326.89 / $326.89	Professional		$326.89	$326.89	$326.89