Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $103.00 / $103.00	Professional		$103.00	$103.00	$103.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.13 / $41.13 / $41.13	Facility		$41.13	$41.13	$41.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $41.13 / $51.41	Professional		$26.28	$41.13	$51.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.39 / $20.39 / $48.24	Facility		$20.39	$20.39	$48.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $14.17 / $14.17	Professional		$14.17	$14.17	$14.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $24.10 / $24.10	Professional		$24.10	$24.10	$24.10