Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.00 / $209.00 / $209.00	Professional		$209.00	$209.00	$209.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $35.90 / $35.90	Facility		$35.90	$35.90	$35.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $35.90 / $44.88	Professional		$22.94	$35.90	$44.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.97 / $17.97 / $42.51	Facility		$17.97	$17.97	$42.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $15.61	Professional		$15.61	$15.61	$15.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $24.10 / $24.10	Professional		$24.10	$24.10	$24.10