Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $16.86 / $16.86	Facility		$14.83	$16.86	$16.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $10.79 / $16.98	Professional		$8.42	$10.79	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $11.23 / $22.06	Facility		$11.23	$11.23	$22.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $23.25 / $29.06	Professional		$11.23	$23.25	$29.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $31.56 / $37.88	Professional		$19.12	$31.56	$37.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.78 / $26.07 / $86.39	Facility		$12.78	$26.07	$86.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $12.53 / $27.39	Professional		$9.58	$12.53	$27.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $22.06 / $27.31	Facility		$21.99	$22.06	$27.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $25.76 / $42.14	Professional		$18.05	$25.76	$42.14
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $10.10 / $23.59	Professional		$9.55	$10.10	$23.59
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $20.05 / $20.05	Facility		$20.05	$20.05	$20.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $20.05 / $20.05	Professional		$15.84	$20.05	$20.05