Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.19 / $30.19 / $30.19	Facility		$30.19	$30.19	$30.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $89.26 / $98.18	Professional		$29.34	$89.26	$98.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $88.31 / $88.31	Professional		$88.31	$88.31	$88.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.57 / $58.68 / $129.38	Facility		$41.57	$58.68	$129.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.32 / $380.66 / $380.66	Professional		$129.32	$380.66	$380.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $72.23 / $142.00	Facility		$36.69	$72.23	$142.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $129.32 / $154.06	Professional		$43.67	$129.32	$154.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $92.80 / $92.80	Professional		$92.80	$92.80	$92.80