Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $37.61 / $39.02	Professional		$34.50	$37.61	$39.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $42.00 / $52.50	Professional		$42.00	$42.00	$52.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.50 / $40.78 / $65.81	Facility		$34.50	$40.78	$65.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $64.88 / $245.19	Professional		$34.65	$64.88	$245.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $65.06 / $65.06 / $79.00	Facility		$65.06	$65.06	$79.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.29 / $46.03 / $72.00	Professional		$42.29	$46.03	$72.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.85 / $45.13 / $81.09	Professional		$33.85	$45.13	$81.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $73.30 / $76.30	Professional		$53.70	$73.30	$76.30