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 / $23.87 / $34.81	Professional		$23.68	$23.87	$34.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $33.83 / $33.83	Professional		$33.83	$33.83	$33.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.38 / $40.34 / $53.74	Facility		$26.38	$40.34	$53.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.45 / $283.32 / $283.32	Professional		$49.45	$283.32	$283.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.39 / $46.67 / $56.94	Facility		$30.39	$46.67	$56.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $49.45 / $63.73	Professional		$35.42	$49.45	$63.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $67.20 / $67.20	Professional		$67.20	$67.20	$67.20