Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $22.39	Facility		$11.22	$11.22	$22.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $11.22 / $19.05	Professional		$10.96	$11.22	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.30 / $14.13	Professional		$11.48	$12.30	$14.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.96 / $19.95	Professional		$8.71	$10.96	$19.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $10.96 / $16.22	Facility		$7.08	$10.96	$16.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $18.20	Professional		$7.94	$10.96	$18.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $14.45 / $14.45	Professional		$13.80	$14.45	$14.45
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Facility		$11.22	$11.22	$11.22
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $11.22 / $11.48	Professional		$10.96	$11.22	$11.48
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96