Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Facility		$8.91	$8.91	$8.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $21.88	Professional		$8.91	$8.91	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $57.54 / $70.79	Professional		$56.23	$57.54	$70.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $19.05 / $162.18	Facility		$12.02	$19.05	$162.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $56.23	Professional		$44.67	$44.67	$56.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10