Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.82 / $12.82 / $15.44	Facility		$12.82	$12.82	$15.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $11.91 / $17.70	Professional		$7.56	$11.91	$17.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.81 / $13.81 / $26.21	Facility		$13.81	$13.81	$26.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.81 / $23.63 / $30.33	Professional		$13.81	$23.63	$30.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.06 / $2.23	Professional		$1.78	$2.06	$2.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.21 / $33.56 / $99.12	Facility		$6.21	$33.56	$99.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $12.17 / $29.00	Professional		$10.30	$12.17	$29.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $6.21	Facility		$2.63	$2.63	$6.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $3.15 / $6.21	Professional		$2.60	$3.15	$6.21
United Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $11.63 / $29.00	Professional		$10.44	$11.63	$29.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $21.45 / $21.45	Professional		$16.95	$21.45	$21.45