Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Facility		$3.00	$3.00	$3.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $8.50 / $50.70	Professional		$8.50	$8.50	$50.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.07 / $8.22	Facility		$5.05	$5.07	$8.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $50.70 / $50.70 / $50.70	Facility		$50.70	$50.70	$50.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $50.70 / $52.85	Professional		$46.03	$50.70	$52.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $44.00 / $44.00	Professional		$44.00	$44.00	$44.00