Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.96 / $15.96 / $33.40	Facility		$15.96	$15.96	$33.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.96 / $31.70	Professional		$15.11	$15.96	$31.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $18.75	Professional		$15.00	$15.00	$18.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $15.11 / $27.35	Professional		$12.09	$15.11	$27.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.08 / $15.96 / $19.14	Facility		$15.08	$15.96	$19.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $15.08 / $21.03	Professional		$12.53	$15.08	$21.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.01 / $22.10 / $30.07	Facility		$16.01	$22.10	$30.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $16.80 / $22.10	Professional		$8.99	$16.80	$22.10
United Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.11 / $15.41	Professional		$15.11	$15.11	$15.41
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $15.08 / $15.08 / $15.08	Facility		$15.08	$15.08	$15.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $15.08 / $15.08	Professional		$15.08	$15.08	$15.08