Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.87 / $23.87 / $23.87	Facility		$23.87	$23.87	$23.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $28.49 / $33.58	Professional		$23.68	$28.49	$33.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $32.29 / $32.29	Professional		$32.29	$32.29	$32.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $40.25 / $51.60	Facility		$25.12	$40.25	$51.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $159.61 / $159.61	Professional		$47.11	$159.61	$159.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.39 / $46.04 / $56.94	Facility		$30.39	$46.04	$56.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $47.11 / $60.72	Professional		$35.42	$47.11	$60.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $65.20 / $65.20	Professional		$65.20	$65.20	$65.20