Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $8.07 / $8.07	Facility		$8.07	$8.07	$8.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $8.61 / $11.05	Professional		$4.36	$8.61	$11.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $13.50 / $16.88	Professional		$13.50	$13.50	$16.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $11.98 / $21.01	Professional		$11.54	$11.98	$21.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $14.92 / $85.00	Facility		$10.79	$14.92	$85.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $11.95 / $19.43	Professional		$5.94	$11.95	$19.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $12.95 / $15.96	Facility		$12.74	$12.95	$15.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $14.42 / $24.41	Professional		$10.29	$14.42	$24.41
United Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $8.68 / $15.02	Professional		$5.80	$8.68	$15.02
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $10.45 / $10.45 / $10.45	Facility		$10.45	$10.45	$10.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $10.45 / $10.45	Professional		$10.45	$10.45	$10.45