Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $9.80 / $9.80	Facility		$9.80	$9.80	$9.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $9.80 / $10.50	Professional		$9.80	$9.80	$10.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $23.00 / $28.75	Facility		$23.00	$23.00	$28.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $17.63 / $22.03	Professional		$16.89	$17.63	$22.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.06 / $16.72 / $21.75	Facility		$13.06	$16.72	$21.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $12.25 / $76.48	Professional		$6.13	$12.25	$76.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.30 / $4.51 / $19.73	Facility		$1.30	$4.51	$19.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $16.84 / $17.55	Professional		$1.30	$16.84	$17.55
United Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $9.80 / $20.28	Professional		$5.09	$9.80	$20.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $13.82 / $13.82	Professional		$13.82	$13.82	$13.82