Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.53 / $10.53 / $10.53	Facility		$10.53	$10.53	$10.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $15.17 / $15.17	Professional		$10.53	$15.17	$15.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $14.47 / $17.34	Professional		$13.88	$14.47	$17.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $27.01 / $87.67	Professional		$18.07	$27.01	$87.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.53 / $16.44 / $25.16	Facility		$10.53	$16.44	$25.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $17.30 / $23.60	Professional		$15.32	$17.30	$23.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.44 / $16.44 / $16.44	Facility		$16.44	$16.44	$16.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $16.44 / $16.44	Professional		$16.44	$16.44	$16.44
United Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $17.30 / $23.60	Professional		$15.32	$17.30	$23.60
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $14.60 / $14.60 / $14.60	Facility		$14.60	$14.60	$14.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $14.60 / $14.60	Professional		$14.60	$14.60	$14.60