Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.43 / $21.43 / $21.43	Facility		$21.43	$21.43	$21.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $19.80 / $21.43	Professional		$17.30	$19.80	$21.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.58 / $28.58 / $28.58	Facility		$28.58	$28.58	$28.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.25 / $32.57 / $40.31	Professional		$32.25	$32.57	$40.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.09 / $39.61 / $150.43	Facility		$26.09	$39.61	$150.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $24.41 / $45.65	Professional		$15.26	$24.41	$45.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.78 / $46.28 / $65.26	Facility		$38.78	$46.28	$65.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $46.28 / $71.12	Professional		$31.81	$46.28	$71.12
United Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $21.48 / $30.68	Professional		$11.32	$21.48	$30.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $11.58 / $11.58	Professional		$11.58	$11.58	$11.58