Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Facility		$4.00	$4.00	$4.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.33 / $92.15	Professional		$1.33	$1.33	$92.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $6.76 / $10.96	Facility		$6.73	$6.76	$10.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $92.15 / $92.15 / $92.15	Facility		$92.15	$92.15	$92.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $92.15 / $92.15	Professional		$18.01	$92.15	$92.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00