Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.66 / $18.14 / $19.38	Facility		$8.66	$18.14	$19.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $8.66 / $14.92	Professional		$8.66	$8.66	$14.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.63 / $17.63 / $17.63	Facility		$17.63	$17.63	$17.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $10.11 / $10.73	Professional		$8.59	$10.11	$10.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $15.67 / $23.40	Professional		$4.55	$15.67	$23.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.36 / $10.67 / $100.00	Facility		$6.36	$10.67	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $8.89 / $12.18	Professional		$3.56	$8.89	$12.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $10.11 / $10.67	Facility		$3.00	$10.11	$10.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $8.27 / $12.22	Professional		$3.00	$8.27	$12.22
United Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $8.66 / $14.23	Professional		$3.46	$8.66	$14.23
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $8.89 / $8.89 / $8.89	Facility		$8.89	$8.89	$8.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $8.89 / $9.73	Professional		$7.69	$8.89	$9.73