Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $12.48 / $13.26	Professional		$12.48	$12.48	$13.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $215.43 / $659.61	Professional		$13.26	$215.43	$659.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $275.00	Professional		$150.00	$150.00	$275.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $15.61 / $552.50	Facility		$12.48	$15.61	$552.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $659.61	Professional		$13.00	$13.00	$659.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $215.43 / $276.57 / $659.61	Facility		$215.43	$276.57	$659.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $276.57 / $659.61	Professional		$15.61	$276.57	$659.61
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $16.91	Professional		$13.00	$13.00	$16.91
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $13.00 / $13.00	Facility		$13.00	$13.00	$13.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $13.00 / $13.00	Professional		$10.27	$13.00	$13.00