Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $17.66 / $17.66	Facility		$17.66	$17.66	$17.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $22.84 / $52.80	Professional		$17.66	$22.84	$52.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.85 / $45.68 / $90.90	Facility		$29.85	$45.68	$90.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.08 / $96.08 / $96.08	Professional		$96.08	$96.08	$96.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.82 / $96.08 / $96.08	Professional		$83.82	$96.08	$96.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00