Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $11.03 / $22.77	Facility		$11.03	$11.03	$22.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $11.03 / $24.52	Professional		$10.30	$11.03	$24.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $10.89 / $13.13	Professional		$10.50	$10.89	$13.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $18.64 / $34.14	Professional		$10.30	$18.64	$34.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $12.36 / $21.70	Facility		$10.30	$12.36	$21.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $18.60	Professional		$10.30	$10.30	$18.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.36 / $15.70 / $23.50	Facility		$12.36	$15.70	$23.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $13.46 / $23.20	Professional		$12.12	$13.46	$23.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $10.82	Professional		$10.30	$10.30	$10.82
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $10.30 / $10.30	Facility		$10.30	$10.30	$10.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $10.30	Professional		$10.30	$10.30	$10.30