Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $31.06 / $38.44	Professional		$30.75	$31.06	$38.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.75 / $42.25 / $90.00	Facility		$35.75	$42.25	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $43.87 / $43.87	Professional		$17.66	$43.87	$43.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $17.66 / $18.85	Professional		$17.66	$17.66	$18.85
United Facility/Professional Professional Modifier Low / Median / High Price $43.87 / $43.87 / $43.87	Professional		$43.87	$43.87	$43.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.70 / $14.70	Professional		$14.70	$14.70	$14.70