Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Facility		$45.00	$45.00	$45.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.93 / $379.93 / $379.93	Facility		$379.93	$379.93	$379.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.35 / $379.93 / $379.93	Professional		$277.35	$379.93	$379.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.73 / $76.05 / $123.30	Facility		$75.73	$76.05	$123.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,787.50 / $4,790.84 / $4,790.84	Professional		$2,787.50	$4,790.84	$4,790.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,428.77 / $2,787.50 / $2,787.50	Professional		$2,428.77	$2,787.50	$2,787.50
United Facility/Professional Professional Modifier Low / Median / High Price $4,790.84 / $4,790.84 / $4,790.84	Professional		$4,790.84	$4,790.84	$4,790.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,321.00 / $2,321.00 / $2,321.00	Professional		$2,321.00	$2,321.00	$2,321.00