Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.85 / $19.05	Professional		$10.00	$15.85	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $26.92	Professional		$21.38	$26.92	$26.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $31.62 / $44.67	Professional		$18.62	$31.62	$44.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $29.51 / $91.20	Facility		$15.85	$29.51	$91.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $27.54 / $39.81	Professional		$10.23	$27.54	$39.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.90 / $33.11	Professional		$26.92	$30.90	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $19.05 / $19.05	Facility		$14.79	$19.05	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $18.62 / $39.81	Professional		$10.23	$18.62	$39.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55