Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.93 / $10.93 / $19.02	Facility		$10.93	$10.93	$19.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $10.88 / $14.36	Professional		$5.03	$10.88	$14.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.40 / $10.29 / $18.85	Facility		$5.40	$10.29	$18.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $18.85 / $24.84	Professional		$10.29	$18.85	$24.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $17.14 / $22.64	Professional		$16.75	$17.14	$22.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $19.92 / $80.00	Facility		$11.70	$19.92	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $8.84 / $22.28	Professional		$7.27	$8.84	$22.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $18.85 / $22.60	Facility		$18.80	$18.85	$22.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $21.05 / $36.02	Professional		$14.75	$21.05	$36.02
United Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $8.55 / $14.68	Professional		$7.27	$8.55	$14.68
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $15.43 / $15.43 / $15.43	Facility		$15.43	$15.43	$15.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $15.43 / $15.43	Professional		$12.19	$15.43	$15.43