Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.78 / $7.78 / $7.78	Facility		$7.78	$7.78	$7.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $8.31 / $10.66	Professional		$4.21	$8.31	$10.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $13.13 / $16.41	Professional		$13.13	$13.13	$16.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $13.11 / $47.79	Professional		$11.14	$13.11	$47.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.13 / $14.39 / $85.00	Facility		$10.13	$14.39	$85.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $11.53 / $18.73	Professional		$5.73	$11.53	$18.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.29 / $12.49 / $15.39	Facility		$12.29	$12.49	$15.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $14.39 / $23.54	Professional		$9.92	$14.39	$23.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.59 / $9.31 / $14.58	Professional		$5.59	$9.31	$14.58
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $11.20 / $11.20 / $11.20	Facility		$11.20	$11.20	$11.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $11.20 / $11.20	Professional		$11.20	$11.20	$11.20