Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $22.00	Professional		$20.00	$20.00	$22.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $27.65 / $34.22	Professional		$27.38	$27.65	$34.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.60 / $33.79 / $90.00	Facility		$28.60	$33.79	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $28.77 / $28.77	Professional		$19.70	$28.77	$28.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $18.94 / $18.94	Facility		$18.94	$18.94	$18.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $18.94 / $19.70	Professional		$17.20	$18.94	$19.70
United Facility/Professional Professional Modifier Low / Median / High Price $28.77 / $28.77 / $28.77	Professional		$28.77	$28.77	$28.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $16.39 / $16.39	Professional		$16.39	$16.39	$16.39