Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.31 / $12.31 / $12.88	Facility		$12.31	$12.31	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $12.26 / $16.23	Professional		$5.67	$12.26	$16.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.60 / $11.60 / $21.24	Facility		$11.60	$11.60	$21.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $21.24 / $28.13	Professional		$13.15	$21.24	$28.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $33.51 / $38.01	Professional		$18.34	$33.51	$38.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $22.21 / $89.11	Facility		$13.18	$22.21	$89.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $9.74 / $26.39	Professional		$7.51	$9.74	$26.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $21.24 / $25.46	Facility		$21.18	$21.24	$25.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $24.38 / $40.61	Professional		$16.62	$24.38	$40.61
United Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $9.64 / $25.23	Professional		$7.44	$9.64	$25.23
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $17.38 / $17.38	Professional		$13.73	$17.38	$17.38