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 $90.50 / $90.50 / $113.13	Facility		$90.50	$90.50	$113.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $68.31 / $84.84	Professional		$67.88	$68.31	$84.84
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 $68.31 / $71.06 / $71.06	Facility		$68.31	$71.06	$71.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $71.06 / $71.22	Professional		$62.05	$71.06	$71.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.30 / $59.30 / $59.30	Professional		$59.30	$59.30	$59.30