Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.65 / $8.65 / $9.86	Facility		$8.65	$8.65	$9.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $8.61 / $10.67	Professional		$3.98	$8.61	$10.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.40 / $8.15 / $14.03	Facility		$5.40	$8.15	$14.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $14.03 / $19.69	Professional		$8.15	$14.03	$19.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $13.34 / $15.47	Professional		$11.53	$13.34	$15.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $15.78 / $80.00	Facility		$8.71	$15.78	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.77 / $17.64	Professional		$5.75	$6.77	$17.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.03 / $14.58 / $17.47	Facility		$14.03	$14.58	$17.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $16.38 / $27.03	Professional		$11.67	$16.38	$27.03
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.36 / $11.28	Professional		$5.75	$6.36	$11.28
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Facility		$11.48	$11.48	$11.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $11.48 / $11.48	Professional		$9.07	$11.48	$11.48