Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Facility		$40.00	$40.00	$40.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $756.50 / $756.50 / $945.63	Facility		$756.50	$756.50	$945.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.75 / $507.75 / $634.69	Professional		$507.75	$507.75	$634.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $67.59 / $109.60	Facility		$67.31	$67.59	$109.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $118.41 / $118.41	Professional		$102.86	$118.41	$118.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $98.60 / $98.60 / $98.60	Professional		$98.60	$98.60	$98.60