Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Professional		$90.00	$90.00	$90.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $754.50 / $754.50 / $943.13	Facility		$754.50	$754.50	$943.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.25 / $506.25 / $632.80	Professional		$506.25	$506.25	$632.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $152.10 / $152.10	Facility		$100.00	$152.10	$152.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.75 / $69.66 / $69.66	Professional		$60.75	$69.66	$69.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $58.00 / $58.00	Professional		$58.00	$58.00	$58.00