Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $33.11 / $33.11	Facility		$16.98	$33.11	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $38.02	Professional		$16.98	$19.95	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $33.88	Professional		$27.54	$27.54	$33.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $38.90 / $107.15	Facility		$29.51	$38.90	$107.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $213.80	Professional		$19.05	$26.92	$213.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $58.88	Professional		$40.74	$58.88	$58.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $25.70 / $42.66	Professional		$15.49	$25.70	$42.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77