Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $148.00 / $148.00	Professional		$148.00	$148.00	$148.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $20.89 / $26.11	Professional		$13.35	$20.89	$26.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $12.50 / $81.88	Facility		$12.50	$12.50	$81.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $8.08 / $14.77	Professional		$8.08	$8.08	$14.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $16.17 / $37.95	Professional		$16.17	$16.17	$37.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $15.10 / $15.10	Professional		$15.10	$15.10	$15.10