Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.34 / $29.34 / $29.34	Facility		$15.34	$29.34	$29.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $10.27 / $29.34	Professional		$10.27	$10.27	$29.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $10.46 / $13.08	Professional		$10.46	$10.46	$13.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $10.27 / $34.14	Professional		$9.15	$10.27	$34.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.16 / $12.11 / $29.34	Facility		$10.16	$12.11	$29.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $10.16 / $13.12	Professional		$10.16	$10.16	$13.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $15.14 / $21.57	Facility		$12.11	$15.14	$21.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $12.20 / $13.93	Professional		$11.51	$12.20	$13.93
United Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $10.27 / $11.30	Professional		$10.27	$10.27	$11.30
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $10.16 / $10.16 / $10.16	Facility		$10.16	$10.16	$10.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $10.16 / $10.16	Professional		$10.16	$10.16	$10.16