Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.69 / $6.69 / $60.00	Facility		$6.69	$6.69	$60.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $73.92 / $157.50	Professional		$25.00	$73.92	$157.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $16.97 / $21.21	Professional		$16.97	$16.97	$21.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $11.48 / $34.93	Professional		$8.10	$11.48	$34.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.79 / $17.42 / $27.87	Facility		$7.79	$17.42	$27.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $16.47 / $27.87	Professional		$12.11	$16.47	$27.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.21 / $23.90 / $27.26	Facility		$10.21	$23.90	$27.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $24.04 / $32.04	Professional		$13.63	$24.04	$32.04
United Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $12.41 / $22.63	Professional		$12.11	$12.41	$22.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $10.50 / $10.50	Professional		$10.50	$10.50	$10.50