Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $16.29	Facility		$16.29	$16.29	$16.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $307.51 / $307.52	Professional		$16.29	$307.51	$307.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.72 / $281.33 / $281.33	Professional		$220.72	$281.33	$281.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.53 / $418.58 / $842.60	Facility		$27.53	$418.58	$842.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $220.72 / $220.72 / $220.72	Facility		$220.72	$220.72	$220.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $200.45 / $220.72 / $226.98	Professional		$200.45	$220.72	$226.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $149.22 / $149.22 / $149.22	Professional		$149.22	$149.22	$149.22