Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.37 / $13.37 / $24.20	Facility		$13.37	$13.37	$24.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $13.37 / $25.57	Professional		$10.95	$13.37	$25.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.18 / $11.18 / $11.18	Facility		$11.18	$11.18	$11.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $10.69 / $13.36	Professional		$10.69	$10.69	$13.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.31 / $10.95 / $20.91	Professional		$8.31	$10.95	$20.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $12.38 / $16.16	Facility		$10.58	$12.38	$16.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $10.58 / $15.48	Professional		$10.58	$10.58	$15.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $15.48 / $24.25	Facility		$12.14	$15.48	$24.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $12.69 / $24.54	Professional		$11.36	$12.69	$24.54
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $10.95 / $11.28	Professional		$10.95	$10.95	$11.28
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $10.58 / $10.58	Facility		$10.58	$10.58	$10.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $10.58 / $10.58	Professional		$10.58	$10.58	$10.58