Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $78.29	Professional		$19.32	$19.32	$78.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $50.70 / $82.20	Facility		$42.90	$50.70	$82.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $188.65 / $188.65	Professional		$12.49	$188.65	$188.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.29 / $78.29 / $78.29	Facility		$78.29	$78.29	$78.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $71.09 / $78.29	Professional		$12.49	$71.09	$78.29
United Facility/Professional Professional Modifier Low / Median / High Price $188.65 / $188.65 / $188.65	Professional		$188.65	$188.65	$188.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $10.40 / $10.40	Professional		$10.40	$10.40	$10.40