Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $9.61 / $9.91	Facility		$9.61	$9.61	$9.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.43 / $9.55 / $12.67	Professional		$4.43	$9.55	$12.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $9.05 / $14.61	Facility		$9.05	$9.05	$14.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $14.61 / $22.03	Professional		$9.32	$14.61	$22.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $14.84 / $16.39	Professional		$12.64	$14.84	$16.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.80 / $17.05 / $80.00	Facility		$10.80	$17.05	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $7.39 / $18.84	Professional		$6.26	$7.39	$18.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $14.81 / $18.84	Facility		$14.61	$14.81	$18.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $17.17 / $27.94	Professional		$11.96	$17.17	$27.94
United Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $6.63 / $11.38	Professional		$5.91	$6.63	$11.38
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $11.95 / $11.95 / $11.95	Facility		$11.95	$11.95	$11.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $11.95 / $11.95	Professional		$9.44	$11.95	$11.95