Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $52.00 / $65.00	Facility		$52.00	$52.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $39.39 / $48.75	Professional		$39.00	$39.39	$48.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.65 / $33.79 / $54.80	Facility		$33.65	$33.79	$54.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $59.85 / $59.85	Facility		$57.53	$59.85	$59.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $57.53 / $59.85	Professional		$0.72	$57.53	$59.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60