Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.18 / $12.18 / $12.18	Facility		$12.18	$12.18	$12.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $11.91 / $24.36	Professional		$9.27	$11.91	$24.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $23.36 / $28.79	Professional		$19.03	$23.36	$28.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $13.36 / $32.17	Professional		$9.36	$13.36	$32.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.56 / $16.55 / $100.00	Facility		$9.56	$16.55	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $23.35 / $70.50	Professional		$12.91	$23.35	$70.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.63 / $25.76 / $28.31	Facility		$21.63	$25.76	$28.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $23.78 / $30.04	Professional		$21.62	$23.78	$30.04
United Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $17.97 / $30.55	Professional		$12.35	$17.97	$30.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $22.70 / $26.70	Professional		$22.70	$22.70	$26.70