Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $19.95 / $19.95	Facility		$12.02	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.49 / $21.88	Professional		$10.96	$15.49	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $33.11	Facility		$22.39	$22.39	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $43.65	Professional		$35.48	$35.48	$43.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $28.84 / $54.95	Facility		$20.42	$28.84	$54.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $16.60 / $158.49	Professional		$11.22	$16.60	$158.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $43.65 / $43.65	Professional		$25.12	$43.65	$43.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $16.22 / $31.62	Professional		$11.22	$16.22	$31.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54