Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.56 / $6.56 / $7.40	Facility		$6.56	$6.56	$7.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $6.53 / $7.90	Professional		$3.01	$6.53	$7.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.18 / $6.18 / $10.37	Facility		$6.18	$6.18	$10.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $10.37 / $15.00	Professional		$6.54	$10.37	$15.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $10.28 / $17.48	Professional		$8.98	$10.28	$17.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.45 / $11.95 / $80.00	Facility		$6.45	$11.95	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $5.13 / $12.88	Professional		$4.00	$5.13	$12.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.37 / $11.31 / $13.55	Facility		$10.37	$11.31	$13.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $12.17 / $19.98	Professional		$8.85	$12.17	$19.98
United Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.70 / $12.32	Professional		$4.36	$4.70	$12.32
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $8.49 / $8.49 / $8.49	Facility		$8.49	$8.49	$8.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $8.49 / $8.49	Professional		$6.71	$8.49	$8.49