Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $15.02 / $26.68	Facility		$15.02	$15.02	$26.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $15.02 / $3,864.00	Professional		$12.07	$15.02	$3,864.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $11.70 / $14.63	Professional		$11.70	$11.70	$14.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $12.07 / $28.96	Professional		$9.16	$12.07	$28.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.95 / $13.76 / $17.70	Facility		$11.95	$13.76	$17.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $17.23	Professional		$12.00	$12.00	$17.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $17.23 / $27.00	Facility		$12.80	$17.23	$27.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $13.79 / $23.17	Professional		$12.80	$13.79	$23.17
United Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $12.43	Professional		$12.07	$12.07	$12.43
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Facility		$12.00	$12.00	$12.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00