Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.33 / $8.33 / $8.33	Facility		$8.33	$8.33	$8.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $8.33 / $8.39	Professional		$8.33	$8.33	$8.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $18.00 / $22.50	Facility		$18.00	$18.00	$22.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $16.88 / $17.14	Professional		$13.50	$16.88	$17.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.53 / $14.18 / $26.89	Facility		$9.53	$14.18	$26.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $12.92 / $95.41	Professional		$6.46	$12.92	$95.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.42 / $20.48 / $27.64	Facility		$16.42	$20.48	$27.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $20.48 / $25.22	Professional		$16.42	$20.48	$25.22
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.78 / $12.99	Professional		$4.79	$7.78	$12.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.00 / $21.00	Professional		$21.00	$21.00	$21.00