Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.26 / $10.26 / $12.86	Facility		$10.26	$10.26	$12.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $9.07 / $14.66	Professional		$7.25	$9.07	$14.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.87 / $10.87 / $22.03	Facility		$10.87	$10.87	$22.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $18.75 / $24.50	Professional		$10.87	$18.75	$24.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $1.63 / $1.71	Professional		$1.55	$1.63	$1.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $27.95 / $80.00	Facility		$2.61	$27.95	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $11.06 / $24.16	Professional		$7.82	$11.06	$24.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2.24 / $5.30	Facility		$2.19	$2.24	$5.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.62 / $5.30	Professional		$2.18	$2.62	$5.30
United Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $10.40 / $24.16	Professional		$8.47	$10.40	$24.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $18.03 / $18.03	Professional		$14.24	$18.03	$18.03