Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.56 / $12.56 / $15.64	Facility		$12.56	$12.56	$15.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $12.56 / $19.32	Professional		$7.55	$12.56	$19.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.93 / $13.93 / $23.03	Facility		$13.93	$13.93	$23.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $23.03 / $30.47	Professional		$13.93	$23.03	$30.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.17 / $2.49	Professional		$2.00	$2.17	$2.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.51 / $32.67 / $112.37	Facility		$5.51	$32.67	$112.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $11.79 / $28.61	Professional		$8.85	$11.79	$28.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.33 / $2.70 / $5.51	Facility		$2.33	$2.70	$5.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.23 / $5.51	Professional		$2.69	$3.23	$5.51
United Facility/Professional Professional Modifier Low / Median / High Price $10.01 / $11.32 / $28.61	Professional		$10.01	$11.32	$28.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $18.85 / $18.85	Professional		$14.89	$18.85	$18.85