Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $110.00 / $110.00	Facility		$35.00	$110.00	$110.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $48.00 / $110.00	Professional		$35.00	$48.00	$110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $26.21 / $51.00	Professional		$22.10	$26.21	$51.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $79.56 / $1,881.90	Professional		$44.20	$79.56	$1,881.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $81.90	Professional		$81.90	$81.90	$81.90
United Facility/Professional Professional Modifier Low / Median / High Price $23.36 / $23.36 / $23.36	Professional		$23.36	$23.36	$23.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $74.00 / $74.00	Professional		$64.00	$74.00	$74.00