Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.43 / $10.43 / $10.43	Facility		$10.43	$10.43	$10.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $8.49 / $10.43	Professional		$7.46	$8.49	$10.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $4.69 / $4.69	Professional		$3.75	$4.69	$4.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.48 / $12.61 / $90.00	Facility		$10.48	$12.61	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $18.39 / $21.63	Professional		$11.82	$18.39	$21.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $5.43 / $12.91	Facility		$4.55	$5.43	$12.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $5.51 / $9.11	Professional		$3.74	$5.51	$9.11
United Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $18.54 / $22.60	Professional		$11.82	$18.54	$22.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $9.98 / $9.98	Professional		$9.98	$9.98	$9.98