Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.55 / $21.55 / $41.69	Facility		$21.55	$21.55	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $21.55	Professional		$18.86	$18.86	$21.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $19.20 / $19.20	Facility		$19.20	$19.20	$19.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $18.48 / $23.11	Professional		$18.48	$18.48	$23.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $70.44	Professional		$18.86	$18.86	$70.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $21.73 / $30.61	Facility		$1.00	$21.73	$30.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $23.57	Professional		$18.11	$18.11	$23.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.73 / $27.20 / $37.32	Facility		$21.73	$27.20	$37.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $21.73 / $27.19	Professional		$20.52	$21.73	$27.19
United Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $19.43	Professional		$18.86	$18.86	$19.43
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $18.11 / $18.11 / $18.11	Facility		$18.11	$18.11	$18.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $18.11	Professional		$18.11	$18.11	$18.11