Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $10.19	Professional		$10.09	$10.09	$10.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $15.47 / $46.84	Professional		$12.38	$15.47	$46.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $18.26 / $42.90	Professional		$10.09	$18.26	$42.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.61 / $16.34 / $40.79	Facility		$10.61	$16.34	$40.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $10.61 / $46.84	Professional		$10.61	$10.61	$46.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.73 / $14.55 / $17.87	Facility		$12.73	$14.55	$17.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $15.49 / $46.84	Professional		$13.58	$15.49	$46.84
United Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $12.81	Professional		$10.09	$10.09	$12.81
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $10.61 / $10.61 / $10.61	Facility		$10.61	$10.61	$10.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $10.61 / $10.61	Professional		$8.38	$10.61	$10.61