Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.45 / $25.61 / $31.45	Facility		$21.45	$25.61	$31.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $25.61	Professional		$14.23	$14.23	$25.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $14.51 / $14.51	Facility		$14.51	$14.51	$14.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.59 / $14.59 / $18.23	Professional		$14.59	$14.59	$18.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $15.62 / $62.91	Professional		$14.23	$15.62	$62.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $17.95 / $25.61	Facility		$1.00	$17.95	$25.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $15.92 / $17.95	Professional		$14.21	$15.92	$17.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $18.75 / $27.09	Facility		$15.17	$18.75	$27.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $17.05 / $21.77	Professional		$15.17	$17.05	$21.77
United Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $15.94 / $15.94	Professional		$14.23	$15.94	$15.94
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $14.21 / $14.21	Facility		$14.21	$14.21	$14.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $14.21 / $14.21	Professional		$14.21	$14.21	$14.21