Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.06 / $50.06 / $50.06	Facility		$50.06	$50.06	$50.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $136.00 / $136.00	Professional		$136.00	$136.00	$136.00
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 $16.93 / $26.76 / $33.46	Professional		$16.93	$26.76	$33.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $49.39 / $112.04	Facility		$20.89	$49.39	$112.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $21.76 / $37.14	Professional		$12.63	$21.76	$37.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $35.17 / $40.27 / $44.10	Facility		$35.17	$40.27	$44.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.17 / $40.27 / $62.85	Professional		$35.17	$40.27	$62.85
United Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $14.51 / $28.73	Professional		$10.07	$14.51	$28.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00