Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $64.80 / $64.80	Facility		$64.80	$64.80	$64.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.80 / $64.80 / $64.80	Professional		$64.80	$64.80	$64.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $27.79 / $92.33	Professional		$27.79	$27.79	$92.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $64.80 / $109.51	Facility		$64.80	$64.80	$109.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $92.33 / $92.33 / $92.33	Facility		$92.33	$92.33	$92.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.85 / $92.33 / $94.88	Professional		$83.85	$92.33	$94.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $68.90 / $68.90	Professional		$68.90	$68.90	$68.90