Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $17.10 / $17.10	Facility		$17.10	$17.10	$17.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $17.10 / $77.67	Professional		$17.10	$17.10	$77.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $6.44 / $6.44	Professional		$6.44	$6.44	$6.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.78 / $46.85 / $212.82	Facility		$28.78	$46.85	$212.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.44 / $6.44 / $6.44	Facility		$6.44	$6.44	$6.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $6.44 / $6.61	Professional		$5.85	$6.44	$6.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $48.93 / $48.93 / $48.93	Professional		$48.93	$48.93	$48.93