Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.85 / $13.85 / $16.69	Facility		$13.85	$13.85	$16.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $12.23 / $19.13	Professional		$7.44	$12.23	$19.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $14.58 / $26.75	Facility		$14.58	$14.58	$26.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $26.63 / $33.94	Professional		$14.58	$26.63	$33.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $2.29 / $2.29	Professional		$2.17	$2.29	$2.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.32 / $36.04 / $104.64	Facility		$6.32	$36.04	$104.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $11.82 / $31.34	Professional		$8.74	$11.82	$31.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.67 / $2.67 / $6.32	Facility		$2.67	$2.67	$6.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $3.20 / $6.32	Professional		$2.65	$3.20	$6.32
United Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $11.63 / $31.34	Professional		$11.44	$11.63	$31.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $21.89 / $21.89	Professional		$17.29	$21.89	$21.89