Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $11.67 / $14.97	Professional		$9.94	$11.67	$14.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $24.75 / $33.02	Professional		$11.42	$24.75	$33.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $32.40 / $150.00	Professional		$17.47	$32.40	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.67 / $23.39 / $33.04	Facility		$11.67	$23.39	$33.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $12.10 / $61.58	Professional		$8.42	$12.10	$61.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.51 / $23.39 / $33.02	Facility		$17.51	$23.39	$33.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.43 / $23.70 / $33.02	Professional		$17.43	$23.70	$33.02
United Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $8.44 / $14.50	Professional		$8.35	$8.44	$14.50
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $6.80 / $6.80 / $6.80	Facility		$6.80	$6.80	$6.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.80 / $6.80	Professional		$5.37	$6.80	$6.80