Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.04 / $4.04 / $4.04	Facility		$4.04	$4.04	$4.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $4.04 / $4.04	Professional		$2.86	$4.04	$4.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $18.75	Facility		$15.00	$15.00	$18.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $10.13 / $12.66	Professional		$10.13	$10.13	$12.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.83 / $6.73 / $8.02	Facility		$4.83	$6.73	$8.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.63 / $12.63 / $12.63	Facility		$12.63	$12.63	$12.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $12.63 / $12.63	Professional		$4.32	$12.63	$12.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $3.60 / $3.60	Professional		$3.60	$3.60	$3.60