Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $59.40 / $59.40	Facility		$59.40	$59.40	$59.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $59.40 / $59.40	Professional		$59.40	$59.40	$59.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $70.06 / $86.72	Professional		$69.38	$70.06	$86.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.44 / $69.06 / $111.82	Facility		$53.44	$69.06	$111.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.19 / $105.09 / $480.58	Professional		$59.19	$105.09	$480.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.18 / $99.63 / $140.50	Facility		$74.18	$99.63	$140.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $99.63 / $124.72	Professional		$68.48	$99.63	$124.72
United Facility/Professional Professional Modifier Low / Median / High Price $56.66 / $105.09 / $164.20	Professional		$56.66	$105.09	$164.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.80 / $141.80 / $141.80	Professional		$141.80	$141.80	$141.80