Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.02 / $27.02 / $27.02	Facility		$27.02	$27.02	$27.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $27.02 / $27.02	Professional		$22.43	$27.02	$27.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $12.19 / $12.19	Professional		$9.75	$12.19	$12.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.54 / $36.39 / $66.64	Facility		$19.54	$36.39	$66.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $22.52 / $24.77	Professional		$13.59	$22.52	$24.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $19.17 / $25.79	Facility		$17.48	$19.17	$25.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $22.86 / $37.69	Professional		$15.39	$22.86	$37.69
United Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $22.52 / $24.77	Professional		$22.52	$22.52	$24.77
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $8.07 / $8.07	Facility		$8.07	$8.07	$8.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $8.07 / $8.07	Professional		$8.07	$8.07	$8.07