Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.80 / $8.80 / $10.03	Facility		$8.80	$8.80	$10.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $8.76 / $11.60	Professional		$4.05	$8.76	$11.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.28 / $8.28 / $15.17	Facility		$8.28	$8.28	$15.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $15.17 / $20.16	Professional		$8.53	$15.17	$20.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $15.20 / $17.95	Professional		$13.13	$15.20	$17.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.42 / $16.03 / $80.00	Facility		$9.42	$16.03	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $6.95 / $18.85	Professional		$5.36	$6.95	$18.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.13 / $15.17 / $18.18	Facility		$15.13	$15.17	$18.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $17.73 / $29.01	Professional		$11.87	$17.73	$29.01
United Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $6.88 / $13.13	Professional		$5.36	$6.88	$13.13
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $12.41 / $12.41 / $12.41	Facility		$12.41	$12.41	$12.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $12.41 / $12.41	Professional		$9.80	$12.41	$12.41