Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.47 / $63.47 / $63.47	Facility		$63.47	$63.47	$63.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.68 / $63.47 / $63.47	Professional		$52.68	$63.47	$63.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.13 / $49.62 / $61.41	Professional		$49.13	$49.62	$61.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.71 / $81.68 / $156.51	Facility		$38.71	$81.68	$156.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $52.89 / $58.18	Professional		$27.49	$52.89	$58.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $35.38 / $38.78 / $52.20	Facility		$35.38	$38.78	$52.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.38 / $48.36 / $77.41	Professional		$35.38	$48.36	$77.41
United Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $52.89 / $58.18	Professional		$52.89	$52.89	$58.18
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $73.72 / $73.72 / $73.72	Facility		$73.72	$73.72	$73.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $73.72 / $73.72 / $73.72	Professional		$73.72	$73.72	$73.72