Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $180.00 / $225.00	Facility		$180.00	$180.00	$225.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $18.55 / $22.97	Professional		$18.38	$18.55	$22.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.65 / $33.79 / $46.00	Facility		$33.65	$33.79	$46.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $25.27 / $25.27	Facility		$25.27	$25.27	$25.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $25.27 / $25.27	Professional		$9.36	$25.27	$25.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $7.80 / $7.80	Professional		$7.80	$7.80	$7.80