Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.71 / $7.95 / $7.95	Facility		$7.71	$7.95	$7.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $7.91 / $10.47	Professional		$3.66	$7.91	$10.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.85 / $5.85 / $13.55	Facility		$5.85	$5.85	$13.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $13.18 / $18.28	Professional		$5.85	$13.18	$18.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $13.59 / $15.84	Professional		$11.70	$13.59	$15.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.43 / $14.22 / $80.00	Facility		$8.43	$14.22	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $6.36 / $16.20	Professional		$5.29	$6.36	$16.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.51 / $13.55 / $16.23	Facility		$13.51	$13.55	$16.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.51 / $25.92	Professional		$10.72	$15.51	$25.92
United Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $6.15 / $10.56	Professional		$5.28	$6.15	$10.56
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $11.09 / $11.09 / $11.09	Facility		$11.09	$11.09	$11.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $11.09 / $11.09	Professional		$8.76	$11.09	$11.09