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 $23.07 / $23.87 / $25.37	Professional		$23.07	$23.87	$25.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.89 / $36.89 / $36.89	Professional		$36.89	$36.89	$36.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $40.34 / $58.09	Facility		$27.09	$40.34	$58.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $167.71 / $167.71	Professional		$54.08	$167.71	$167.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.39 / $48.50 / $56.94	Facility		$30.39	$48.50	$56.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $54.08 / $69.66	Professional		$35.42	$54.08	$69.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Professional		$120.00	$120.00	$120.00