Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $19.57 / $19.57	Facility		$19.57	$19.57	$19.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $19.57 / $24.91	Professional		$19.57	$19.57	$24.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.72 / $23.72 / $23.72	Facility		$23.72	$23.72	$23.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $23.72 / $74.48	Professional		$17.32	$23.72	$74.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $42.10 / $68.25	Facility		$27.99	$42.10	$68.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $50.90 / $77.58	Professional		$50.90	$50.90	$77.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.48 / $74.48 / $74.48	Facility		$74.48	$74.48	$74.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $74.48 / $77.58	Professional		$67.63	$74.48	$77.58
United Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $50.90 / $50.90	Professional		$50.90	$50.90	$50.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $64.59 / $64.59	Professional		$64.59	$64.59	$64.59