Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.83 / $21.83 / $21.83	Facility		$21.83	$21.83	$21.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $21.35 / $21.83	Professional		$18.80	$21.35	$21.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $22.28 / $22.28	Professional		$22.28	$22.28	$22.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $35.65 / $42.70	Facility		$19.55	$35.65	$42.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $193.44 / $193.44	Professional		$33.39	$193.44	$193.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.41 / $36.40 / $51.38	Facility		$27.41	$36.40	$51.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $33.39 / $42.29	Professional		$27.80	$33.39	$42.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $48.70 / $48.70 / $48.70	Professional		$48.70	$48.70	$48.70