Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $21.08 / $21.08	Professional		$21.01	$21.08	$21.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $18.75 / $23.44	Professional		$18.75	$18.75	$23.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $116.87 / $116.87 / $116.87	Professional		$116.87	$116.87	$116.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $86.41 / $86.41	Facility		$10.75	$86.41	$86.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $9.69 / $14.06	Professional		$8.02	$9.69	$14.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $21.97 / $21.97	Professional		$21.17	$21.97	$21.97
United Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $9.38 / $13.04	Professional		$7.18	$9.38	$13.04
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $106.00 / $106.00	Professional		$106.00	$106.00	$106.00