Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Facility		$9.33	$9.33	$9.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $8.61 / $9.33	Professional		$7.53	$8.61	$9.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $28.37 / $28.37	Facility		$28.37	$28.37	$28.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $17.34 / $19.64	Professional		$13.88	$17.34	$19.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.97 / $19.73 / $90.00	Facility		$10.97	$19.73	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $10.62 / $20.13	Professional		$6.64	$10.62	$20.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.88 / $20.13 / $28.42	Facility		$16.88	$20.13	$28.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $20.39 / $30.94	Professional		$15.08	$20.39	$30.94
United Facility/Professional Professional Modifier Low / Median / High Price $4.93 / $9.27 / $13.35	Professional		$4.93	$9.27	$13.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $17.59 / $17.59	Professional		$17.59	$17.59	$17.59