Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.36 / $28.36 / $28.36	Facility		$28.36	$28.36	$28.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.36 / $28.36 / $55.00	Professional		$28.36	$28.36	$55.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $12.60 / $12.60	Facility		$12.60	$12.60	$12.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $12.60 / $36.90	Professional		$10.71	$12.60	$36.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $92.95 / $150.69	Facility		$40.54	$92.95	$150.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $17.66 / $24.73	Professional		$11.04	$17.66	$24.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $36.90 / $36.90	Facility		$36.90	$36.90	$36.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.51 / $36.90 / $38.43	Professional		$33.51	$36.90	$38.43
United Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $17.66 / $22.08	Professional		$8.83	$17.66	$22.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $32.00 / $32.00	Professional		$32.00	$32.00	$32.00