Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $100.00 / $100.00	Professional		$14.13	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $24.55 / $199.53	Facility		$1.35	$24.55	$199.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.02 / $38.02	Professional		$25.70	$38.02	$38.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
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 $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38