Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Facility		$8.91	$8.91	$8.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $8.91 / $12.02	Professional		$3.98	$8.91	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $28.84	Facility		$22.91	$22.91	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $21.88	Professional		$17.78	$17.78	$21.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $15.49 / $21.88	Facility		$9.55	$15.49	$21.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.59 / $75.86	Professional		$6.17	$7.59	$75.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $16.98	Professional		$14.13	$16.98	$16.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $27.54	Professional		$14.13	$14.13	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.46 / $15.49	Professional		$5.13	$6.46	$15.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80