Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.91 / $49.91 / $49.91	Facility		$49.91	$49.91	$49.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $49.91 / $49.91	Professional		$49.91	$49.91	$49.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $1,300.00 / $1,339.00	Professional		$73.06	$1,300.00	$1,339.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.91 / $84.85 / $285.33	Facility		$49.91	$84.85	$285.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $248.60 / $248.60 / $248.60	Professional		$248.60	$248.60	$248.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $215.56 / $215.56 / $248.60	Professional		$215.56	$215.56	$248.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $163.53 / $207.00 / $207.00	Professional		$163.53	$207.00	$207.00