Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $14.58 / $27.17	Facility		$14.58	$14.58	$27.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $14.58 / $23.40	Professional		$12.32	$14.58	$23.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $12.67 / $15.66	Professional		$12.53	$12.67	$15.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $12.32 / $37.96	Professional		$9.25	$12.32	$37.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $14.73 / $20.87	Facility		$1.00	$14.73	$20.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $12.35 / $15.96	Professional		$12.35	$12.35	$15.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $18.42 / $25.47	Facility		$14.73	$18.42	$25.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.73 / $18.42	Professional		$14.00	$14.73	$18.42
United Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $12.69	Professional		$12.32	$12.32	$12.69
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $12.35 / $12.35 / $12.35	Facility		$12.35	$12.35	$12.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $12.35 / $12.35	Professional		$12.35	$12.35	$12.35