Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.39 / $30.39 / $608.00	Professional		$30.39	$30.39	$608.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $49.24 / $60.94	Professional		$48.75	$49.24	$60.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.38 / $48.30 / $78.23	Facility		$37.38	$48.30	$78.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $73.50 / $335.71	Professional		$41.40	$73.50	$335.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $51.88 / $69.68 / $98.28	Facility		$51.88	$69.68	$98.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.90 / $69.68 / $92.04	Professional		$47.90	$69.68	$92.04
United Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $73.72 / $97.00	Professional		$41.78	$73.72	$97.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $225.10 / $225.10 / $225.10	Professional		$225.10	$225.10	$225.10