Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $10.58 / $10.58	Facility		$10.58	$10.58	$10.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $20.00 / $22.00	Professional		$10.58	$20.00	$22.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $30.03 / $30.03	Facility		$30.03	$30.03	$30.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $30.03 / $37.54	Professional		$19.19	$30.03	$37.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.13 / $23.82 / $42.11	Facility		$15.13	$23.82	$42.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $480.40 / $480.40 / $480.40	Professional		$480.40	$480.40	$480.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Professional		$400.00	$400.00	$400.00