Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.49 / $14.49 / $26.83	Facility		$14.49	$14.49	$26.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $14.49 / $26.67	Professional		$12.14	$14.49	$26.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $12.38 / $15.47	Professional		$12.38	$12.38	$15.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $12.14 / $21.97	Professional		$9.71	$12.14	$21.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $14.49 / $18.72	Facility		$12.14	$14.49	$18.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $18.28	Professional		$12.14	$12.14	$18.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.90 / $18.29 / $24.40	Facility		$13.90	$18.29	$24.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.90 / $14.56 / $25.09	Professional		$13.90	$14.56	$25.09
United Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $12.38	Professional		$12.14	$12.14	$12.38
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $12.14 / $12.14	Facility		$12.14	$12.14	$12.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $12.14	Professional		$12.14	$12.14	$12.14