Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.86 / $53.86 / $53.86	Facility		$53.86	$53.86	$53.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.79 / $52.76 / $53.86	Professional		$51.79	$52.76	$53.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $73.31 / $73.31	Professional		$73.31	$73.31	$73.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.60 / $91.02 / $115.80	Facility		$57.60	$91.02	$115.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.75 / $367.45 / $367.45	Professional		$102.75	$367.45	$367.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.76 / $102.75 / $126.80	Facility		$66.76	$102.75	$126.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.01 / $102.75 / $133.04	Professional		$82.01	$102.75	$133.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $145.30 / $145.30 / $145.30	Professional		$145.30	$145.30	$145.30