Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
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 $1,300.00 / $1,300.00 / $1,300.00	Professional		$1,300.00	$1,300.00	$1,300.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.35 / $84.35 / $136.75	Facility		$84.35	$84.35	$136.75
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 $248.60 / $248.60 / $248.60	Professional		$248.60	$248.60	$248.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $207.00 / $207.00	Professional		$207.00	$207.00	$207.00