Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.96 / $9.96 / $9.96	Facility		$9.96	$9.96	$9.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.38 / $10.63 / $13.64	Professional		$5.38	$10.63	$13.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $16.50 / $20.63	Professional		$16.50	$16.50	$20.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $16.75 / $30.66	Professional		$14.24	$16.75	$30.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $18.41 / $85.00	Facility		$13.49	$18.41	$85.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $14.74 / $23.96	Professional		$7.33	$14.74	$23.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $15.97 / $19.70	Facility		$15.71	$15.97	$19.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $17.73 / $30.12	Professional		$12.69	$17.73	$30.12
United Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $11.92 / $18.54	Professional		$7.15	$11.92	$18.54
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $12.90 / $12.90	Facility		$12.90	$12.90	$12.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $12.90 / $12.90	Professional		$12.90	$12.90	$12.90