Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.17 / $17.17 / $20.58	Facility		$17.17	$17.17	$20.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $15.75 / $23.60	Professional		$8.94	$15.75	$23.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $18.77 / $31.59	Facility		$18.77	$18.77	$31.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $33.38 / $42.50	Professional		$18.77	$33.38	$42.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $2.87 / $2.87	Professional		$2.71	$2.87	$2.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.44 / $44.48 / $134.69	Facility		$7.44	$44.48	$134.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $15.36 / $38.65	Professional		$12.18	$15.36	$38.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.15 / $3.15 / $7.44	Facility		$3.15	$3.15	$7.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.77 / $7.44	Professional		$3.13	$3.77	$7.44
United Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $15.29 / $38.65	Professional		$13.28	$15.29	$38.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.85 / $25.85	Professional		$20.42	$25.85	$25.85