Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $124.00 / $124.00	Professional		$124.00	$124.00	$124.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.70 / $45.70	Facility		$45.70	$45.70	$45.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $45.70 / $57.12	Professional		$29.20	$45.70	$57.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.25 / $19.25 / $45.53	Facility		$19.25	$19.25	$45.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $27.68 / $27.68	Professional		$27.68	$27.68	$27.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $24.70	Professional		$24.70	$24.70	$24.70