Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.20 / $13.20 / $15.06	Facility		$13.20	$13.20	$15.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.09 / $13.14 / $17.39	Professional		$6.09	$13.14	$17.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $12.44 / $19.36	Facility		$8.94	$12.44	$19.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.44 / $19.36 / $30.00	Professional		$12.44	$19.36	$30.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $20.70 / $26.53	Professional		$17.60	$20.70	$26.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $22.61 / $92.20	Facility		$12.04	$22.61	$92.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $10.16 / $25.56	Professional		$8.42	$10.16	$25.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $20.00 / $25.49	Facility		$19.36	$20.00	$25.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $22.88 / $37.31	Professional		$17.67	$22.88	$37.31
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $8.77 / $17.21	Professional		$8.42	$8.77	$17.21
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $15.84 / $15.84	Facility		$15.84	$15.84	$15.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $15.84 / $15.84	Professional		$12.51	$15.84	$15.84