Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.01 / $12.01 / $16.11	Facility		$12.01	$12.01	$16.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $12.01 / $18.45	Professional		$6.50	$12.01	$18.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.92 / $13.30 / $20.71	Facility		$11.92	$13.30	$20.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $20.71 / $27.19	Professional		$13.27	$20.71	$27.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $22.15 / $33.79	Professional		$18.59	$22.15	$33.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $24.19 / $102.21	Facility		$12.86	$24.19	$102.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $10.43 / $25.72	Professional		$8.61	$10.43	$25.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.71 / $21.00 / $27.72	Facility		$20.71	$21.00	$27.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $24.48 / $39.54	Professional		$18.75	$24.48	$39.54
United Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $8.61 / $14.10	Facility		$0.14	$8.61	$14.10
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $9.39 / $24.59	Professional		$8.52	$9.39	$24.59
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $16.95 / $16.95 / $16.95	Facility		$16.95	$16.95	$16.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $16.95 / $16.95	Professional		$13.39	$16.95	$16.95