Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.08 / $10.08 / $11.48	Facility		$10.08	$10.08	$11.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $10.02 / $13.29	Professional		$4.63	$10.02	$13.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.10 / $9.49 / $17.36	Facility		$8.10	$9.49	$17.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $17.36 / $22.97	Professional		$9.49	$17.36	$22.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $18.62 / $22.24	Professional		$15.02	$18.62	$22.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.77 / $19.84 / $80.00	Facility		$10.77	$19.84	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $7.97 / $21.56	Professional		$6.14	$7.97	$21.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $17.36 / $20.80	Facility		$17.30	$17.36	$20.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $19.96 / $33.15	Professional		$13.58	$19.96	$33.15
United Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $7.87 / $20.54	Professional		$6.02	$7.87	$20.54
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $15.78 / $15.78 / $15.78	Facility		$15.78	$15.78	$15.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $15.78 / $15.78	Professional		$12.47	$15.78	$15.78