Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.96 / $16.96 / $40.76	Facility		$16.96	$16.96	$40.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $18.44 / $40.00	Professional		$16.96	$18.44	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $21.90 / $23.25	Professional		$18.60	$21.90	$23.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $18.44 / $33.67	Professional		$14.75	$18.44	$33.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $21.90 / $34.79	Facility		$11.00	$21.90	$34.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $17.51 / $30.49	Professional		$15.51	$17.51	$30.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $22.43 / $29.51	Facility		$11.00	$22.43	$29.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.02 / $22.65 / $43.12	Professional		$14.02	$22.65	$43.12
United Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $19.55	Professional		$18.44	$18.44	$19.55
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $17.51 / $17.51 / $17.51	Facility		$17.51	$17.51	$17.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $17.51 / $17.51	Professional		$17.51	$17.51	$17.51