Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.65 / $15.52 / $35.69	Facility		$8.65	$15.52	$35.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $11.48 / $16.05	Professional		$4.40	$11.48	$16.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $13.26 / $14.06	Professional		$11.25	$13.26	$14.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $10.34 / $19.34	Professional		$2.16	$10.34	$19.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $13.88 / $16.64	Facility		$1.00	$13.88	$16.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $8.30 / $14.99	Professional		$4.91	$8.30	$14.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $8.77 / $15.72	Facility		$1.00	$8.77	$15.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $8.80 / $19.35	Professional		$1.00	$8.80	$19.35
United Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $10.34 / $10.55	Professional		$10.34	$10.34	$10.55
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $8.30 / $8.30 / $8.30	Facility		$8.30	$8.30	$8.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $8.30 / $8.30	Professional		$8.30	$8.30	$8.30