Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $160.00	Professional		$160.00	$160.00	$160.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.76 / $26.76 / $26.76	Facility		$26.76	$26.76	$26.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $26.76 / $33.46	Professional		$17.10	$26.76	$33.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $29.74 / $70.33	Facility		$29.74	$29.74	$70.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $19.64 / $19.64	Professional		$19.64	$19.64	$19.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $24.30 / $24.30	Professional		$24.30	$24.30	$24.30