Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $9.60 / $9.60	Facility		$9.60	$9.60	$9.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $9.60 / $12.00	Professional		$9.60	$9.60	$12.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.63 / $70.78 / $70.78	Professional		$56.63	$70.78	$70.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $20.28 / $108.99	Facility		$13.73	$20.28	$108.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $516.84 / $516.84 / $516.84	Facility		$516.84	$516.84	$516.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $469.33 / $516.84 / $530.83	Professional		$469.33	$516.84	$530.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $63.57 / $63.57	Professional		$63.57	$63.57	$63.57