Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.93 / $10.93 / $12.47	Facility		$10.93	$10.93	$12.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $9.63 / $12.94	Professional		$5.03	$9.63	$12.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $10.29 / $16.03	Facility		$10.29	$10.29	$16.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $16.03 / $24.84	Professional		$11.67	$16.03	$24.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $18.23 / $33.79	Professional		$14.57	$18.23	$33.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $18.72 / $80.00	Facility		$9.94	$18.72	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $8.07 / $19.89	Professional		$6.66	$8.07	$19.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $16.23 / $21.05	Facility		$16.03	$16.23	$21.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $18.94 / $30.61	Professional		$14.50	$18.94	$30.61
United Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $7.27 / $19.03	Professional		$6.60	$7.27	$19.03
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $13.11 / $13.11 / $13.11	Facility		$13.11	$13.11	$13.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $13.11 / $13.11	Professional		$10.36	$13.11	$13.11