Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.04	Facility		$0.02	$0.03	$0.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $77.04 / $77.04	Professional		$77.04	$77.04	$77.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $31.99 / $39.97	Professional		$6.01	$31.99	$39.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.23 / $70.31 / $150.00	Professional		$68.23	$70.31	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.01 / $35.17 / $112.04	Facility		$6.01	$35.17	$112.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $21.93 / $55.46	Professional		$12.61	$21.93	$55.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.41 / $43.89 / $84.98	Facility		$28.41	$43.89	$84.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $42.39 / $60.23	Professional		$28.54	$42.39	$60.23
United Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $13.16 / $81.94	Professional		$12.61	$13.16	$81.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $17.30 / $17.30	Professional		$13.67	$17.30	$17.30