Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $4.54 / $4.54	Facility		$4.54	$4.54	$4.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $4.54 / $6.09	Professional		$4.54	$4.54	$6.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $9.27 / $9.27	Facility		$9.27	$9.27	$9.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $10.50 / $13.13	Professional		$10.50	$10.50	$13.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.67 / $10.69 / $90.00	Facility		$7.67	$10.69	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.02 / $75.77	Professional		$5.01	$8.02	$75.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Facility		$19.38	$19.38	$19.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $19.09 / $41.32	Professional		$10.48	$19.09	$41.32
United Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $7.02 / $75.77	Professional		$4.01	$7.02	$75.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $34.40 / $34.40	Professional		$34.40	$34.40	$34.40