Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $9.94 / $9.94	Facility		$9.94	$9.94	$9.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $9.94 / $10.02	Professional		$9.94	$9.94	$10.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $22.00 / $27.50	Facility		$22.00	$22.00	$27.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $24.75 / $30.94	Professional		$24.75	$24.75	$30.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.09 / $16.93 / $27.45	Facility		$11.09	$16.93	$27.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $15.43 / $111.30	Professional		$7.72	$15.43	$111.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.61 / $24.46 / $33.02	Facility		$19.61	$24.46	$33.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $23.39 / $30.01	Professional		$17.51	$23.39	$30.01
United Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $9.31 / $15.52	Professional		$5.72	$9.31	$15.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $6.80 / $6.80	Professional		$6.80	$6.80	$6.80