Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $140.00 / $140.00	Facility		$140.00	$140.00	$140.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $140.00 / $140.00	Professional		$140.00	$140.00	$140.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.29 / $223.29 / $223.29	Facility		$223.29	$223.29	$223.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $163.00 / $163.00	Professional		$163.00	$163.00	$163.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $200.20 / $236.60 / $383.60	Facility		$200.20	$236.60	$383.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $198.51 / $284.41	Professional		$124.07	$198.51	$284.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $244.64 / $280.68 / $280.68	Professional		$244.64	$280.68	$280.68
United Facility/Professional Professional Modifier Low / Median / High Price $113.76 / $198.51 / $284.41	Professional		$113.76	$198.51	$284.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $233.70 / $233.70 / $233.70	Professional		$233.70	$233.70	$233.70