Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $58.28 / $58.28	Facility		$58.28	$58.28	$58.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $109.40	Professional		$58.28	$58.28	$109.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.06 / $204.06 / $204.06	Professional		$204.06	$204.06	$204.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.49 / $178.72 / $299.76	Facility		$98.49	$178.72	$299.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $204.06 / $204.06 / $204.06	Facility		$204.06	$204.06	$204.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $185.30 / $204.06 / $210.17	Professional		$185.30	$204.06	$210.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $135.78 / $135.78 / $135.78	Professional		$135.78	$135.78	$135.78