Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.75 / $15.82 / $15.82	Facility		$13.75	$15.82	$15.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $11.34 / $19.13	Professional		$9.23	$11.34	$19.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.44 / $14.44 / $24.18	Facility		$14.44	$14.44	$24.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $21.75 / $27.19	Professional		$14.44	$21.75	$27.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $22.60 / $29.96	Professional		$18.89	$22.60	$29.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $28.24 / $101.79	Facility		$14.02	$28.24	$101.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $13.17 / $28.81	Professional		$10.51	$13.17	$28.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.11 / $24.18 / $28.97	Facility		$24.11	$24.18	$28.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $28.24 / $46.23	Professional		$19.80	$28.24	$46.23
United Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $11.21 / $24.56	Professional		$10.14	$11.21	$24.56
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $21.54 / $21.54 / $21.54	Facility		$21.54	$21.54	$21.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $21.54 / $21.54	Professional		$17.02	$21.54	$21.54