Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.02 / $6.02 / $6.02	Facility		$6.02	$6.02	$6.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $6.02 / $6.06	Professional		$6.02	$6.02	$6.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $22.50 / $28.13	Facility		$22.50	$22.50	$28.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $16.88 / $21.09	Professional		$16.88	$16.88	$21.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.97 / $10.24 / $24.35	Facility		$6.97	$10.24	$24.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $9.33 / $68.90	Professional		$4.67	$9.33	$68.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.86 / $14.79 / $19.97	Facility		$11.86	$14.79	$19.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $14.79 / $20.99	Professional		$11.86	$14.79	$20.99
United Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $5.62 / $9.38	Professional		$3.46	$5.62	$9.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $115.10 / $115.10 / $115.10	Professional		$115.10	$115.10	$115.10