Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.08 / $10.08 / $12.63	Facility		$10.08	$10.08	$12.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $8.14 / $12.93	Professional		$6.72	$8.14	$12.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $28.65 / $28.65	Facility		$28.65	$28.65	$28.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $22.97 / $28.65	Professional		$18.38	$22.97	$28.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $31.44 / $33.69	Professional		$30.57	$31.44	$33.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.14 / $27.00 / $90.00	Facility		$8.14	$27.00	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $10.22 / $30.30	Professional		$7.84	$10.22	$30.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $19.41 / $30.71	Facility		$16.29	$19.41	$30.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $24.56 / $33.47	Professional		$16.21	$24.56	$33.47
United Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $8.66 / $20.65	Professional		$7.84	$8.66	$20.65
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $44.55 / $44.55 / $44.55	Facility		$44.55	$44.55	$44.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.19 / $44.55 / $44.55	Professional		$35.19	$44.55	$44.55