Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.74 / $32.74 / $32.74	Facility		$32.74	$32.74	$32.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $32.74 / $88.71	Professional		$23.90	$32.74	$88.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.75 / $42.25 / $68.50	Facility		$35.75	$42.25	$68.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $88.94 / $88.94	Professional		$0.72	$88.94	$88.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $88.71 / $88.71 / $88.71	Facility		$88.71	$88.71	$88.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $80.56 / $88.71	Professional		$0.72	$80.56	$88.71
United Facility/Professional Professional Modifier Low / Median / High Price $88.94 / $88.94 / $88.94	Professional		$88.94	$88.94	$88.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60