Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $223.87	Facility		$181.97	$181.97	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.62 / $22.91	Professional		$18.20	$18.62	$22.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $33.88 / $45.71	Facility		$19.95	$33.88	$45.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $7.76	Professional		$7.76	$7.76	$7.76