Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $85.11	Professional		$77.62	$77.62	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $144.54 / $204.17	Facility		$117.49	$144.54	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $104.71	Professional		$85.11	$85.11	$104.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $144.54 / $169.82	Facility		$85.11	$144.54	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $380.19	Professional		$81.28	$85.11	$380.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $102.33 / $102.33	Professional		$100.00	$102.33	$102.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $204.17	Facility		$169.82	$169.82	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $173.78	Professional		$77.62	$120.23	$173.78
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62