Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.62 / $76.62 / $76.62	Facility		$76.62	$76.62	$76.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.28 / $69.29 / $76.62	Professional		$63.28	$69.29	$76.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.28 / $97.28 / $97.28	Professional		$97.28	$97.28	$97.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.28 / $76.62 / $129.49	Facility		$63.28	$76.62	$129.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $97.28 / $97.28 / $97.28	Facility		$97.28	$97.28	$97.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $88.34 / $97.28 / $99.68	Professional		$88.34	$97.28	$99.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $60.40 / $60.40 / $60.40	Professional		$60.40	$60.40	$60.40