Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $18.20 / $18.20	Facility		$12.88	$18.20	$18.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.88 / $18.20	Professional		$7.94	$12.88	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $13.49 / $25.12	Facility		$9.55	$13.49	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $24.55 / $30.90	Professional		$13.80	$24.55	$30.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $24.55 / $29.51	Professional		$19.05	$24.55	$29.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $24.55 / $102.33	Facility		$15.14	$24.55	$102.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.49 / $37.15	Professional		$10.23	$13.49	$37.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $25.70 / $28.84	Professional		$24.55	$25.70	$28.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $37.15 / $37.15	Professional		$19.05	$37.15	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $10.23 / $15.85	Facility		$6.61	$10.23	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.22 / $19.05	Professional		$9.55	$11.22	$19.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $19.95	Professional		$15.85	$19.95	$19.95