Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $22.55 / $32.82	Facility		$22.51	$22.55	$32.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $22.55 / $37.26	Professional		$14.85	$22.55	$37.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $15.11 / $15.11	Facility		$15.11	$15.11	$15.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $14.55 / $18.19	Professional		$14.55	$14.55	$18.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $14.85 / $46.48	Professional		$14.10	$14.85	$46.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.91 / $17.11 / $22.55	Facility		$14.91	$17.11	$22.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.91 / $16.70 / $21.38	Professional		$14.91	$16.70	$21.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.11 / $21.39 / $33.51	Facility		$17.11	$21.39	$33.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $17.89 / $21.38	Professional		$16.25	$17.89	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $16.63 / $16.63	Professional		$14.85	$16.63	$16.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $14.91 / $14.91 / $14.91	Facility		$14.91	$14.91	$14.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.91 / $14.91 / $14.91	Professional		$14.91	$14.91	$14.91