Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Facility		$5.00	$5.00	$5.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.15	Professional		$5.00	$5.00	$5.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $22.55 / $22.55	Facility		$22.55	$22.55	$22.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.03 / $22.55 / $22.55	Professional		$1.03	$22.55	$22.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $8.44 / $13.70	Facility		$5.00	$8.44	$13.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $0.48 / $0.48	Professional		$0.48	$0.48	$0.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.03 / $1.03 / $1.03	Facility		$1.03	$1.03	$1.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $0.94 / $1.03	Professional		$0.48	$0.94	$1.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $0.40 / $0.40	Professional		$0.40	$0.40	$0.40