Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.91 / $14.13	Professional		$6.03	$8.91	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.89 / $22.91	Professional		$18.20	$20.89	$22.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $15.85 / $36.31	Facility		$11.48	$15.85	$36.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.96 / $93.33	Professional		$7.24	$10.96	$93.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $21.88 / $27.54	Professional		$19.50	$21.88	$27.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $32.36	Professional		$27.54	$27.54	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.00 / $15.85	Professional		$7.24	$10.00	$15.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67