Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $15.14	Facility		$12.02	$12.02	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.02 / $19.05	Professional		$7.08	$12.02	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $23.44	Facility		$13.80	$13.80	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $26.30 / $33.11	Professional		$13.80	$26.30	$33.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.14 / $2.51	Professional		$1.74	$2.14	$2.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $32.36 / $112.20	Facility		$2.69	$32.36	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.22 / $25.70	Professional		$8.13	$11.22	$25.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $54.95	Professional		$22.91	$26.92	$54.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $27.54	Facility		$23.44	$23.44	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $0.91 / $7.76 / $15.85	Facility		$0.91	$7.76	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.22 / $28.84	Professional		$9.55	$11.22	$28.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.05 / $19.05	Professional		$14.79	$19.05	$19.05