Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $0.80 / $0.80	Facility		$0.80	$0.80	$0.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $99.00	Professional		$0.80	$0.80	$99.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $25.28 / $25.28	Professional		$25.28	$25.28	$25.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $167.31 / $271.26	Facility		$1.35	$167.31	$271.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $38.04 / $38.04	Professional		$25.46	$38.04	$38.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.28 / $25.28 / $25.28	Facility		$25.28	$25.28	$25.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.96 / $25.28 / $25.46	Professional		$22.96	$25.28	$25.46
United Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $38.04 / $38.04	Professional		$38.04	$38.04	$38.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $21.20 / $21.20	Professional		$21.20	$21.20	$21.20