Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.74 / $7.74 / $7.74	Facility		$7.74	$7.74	$7.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $4.28 / $9.53	Professional		$4.28	$4.28	$9.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.00 / $23.75	Facility		$19.00	$19.00	$23.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $18.75	Professional		$15.00	$15.00	$18.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $14.70 / $18.51	Facility		$8.94	$14.70	$18.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $8.90 / $69.52	Professional		$5.57	$8.90	$69.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.34 / $1.64 / $3.17	Facility		$1.34	$1.64	$3.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.34 / $3.13	Professional		$1.12	$1.34	$3.13
United Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $5.92 / $12.90	Professional		$4.63	$5.92	$12.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $10.68	Professional		$10.68	$10.68	$10.68