Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $196.51	Facility		$9.33	$9.33	$196.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $7.67 / $17.20	Professional		$6.22	$7.67	$17.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $21.12 / $21.41	Facility		$12.02	$21.12	$21.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $15.94 / $21.41	Professional		$12.75	$15.94	$21.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $30.50 / $42.34	Professional		$24.92	$30.50	$42.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.53 / $23.77 / $90.00	Facility		$7.53	$23.77	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $9.61 / $26.00	Professional		$7.25	$9.61	$26.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $17.96 / $28.42	Facility		$12.02	$17.96	$28.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $21.83 / $30.88	Professional		$15.00	$21.83	$30.88
United Facility/Professional Facility Modifier Low / Median / High Price $6.67 / $8.00 / $9.94	Facility		$6.67	$8.00	$9.94
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.55 / $16.52	Professional		$7.25	$7.55	$16.52
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $17.22 / $17.22 / $17.22	Facility		$17.22	$17.22	$17.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $17.22 / $17.22	Professional		$13.60	$17.22	$17.22