Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $126.00 / $126.00	Professional		$126.00	$126.00	$126.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.60 / $34.60 / $34.60	Facility		$34.60	$34.60	$34.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $34.60 / $43.25	Professional		$22.11	$34.60	$43.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $18.02 / $42.63	Facility		$18.02	$18.02	$42.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.83 / $38.83 / $38.83	Professional		$38.83	$38.83	$38.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $25.10 / $25.10	Professional		$25.10	$25.10	$25.10