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 / $6.66	Professional		$5.00	$5.00	$6.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $4.12 / $4.12	Facility		$4.12	$4.12	$4.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $7.50	Professional		$6.00	$6.00	$7.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.15 / $8.44 / $273.83	Facility		$7.15	$8.44	$273.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $2.56 / $6.88	Professional		$0.34	$2.56	$6.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.19	Professional		$4.00	$4.00	$4.19
United Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $2.56 / $6.88	Professional		$0.34	$2.56	$6.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.10 / $3.10	Professional		$3.10	$3.10	$3.10