Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $33.88 / $144.54	Professional		$12.88	$33.88	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $40.74 / $60.26	Professional		$39.81	$40.74	$60.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $102.33 / $181.97	Facility		$14.13	$102.33	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $31.62 / $812.83	Professional		$23.99	$31.62	$812.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $169.82	Professional		$125.89	$125.89	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.84 / $239.88	Professional		$23.99	$28.84	$239.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51