Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $10.64 / $10.64	Facility		$10.64	$10.64	$10.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $11.07 / $14.57	Professional		$7.79	$11.07	$14.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $19.69 / $20.09	Professional		$15.75	$19.69	$20.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $16.75 / $33.32	Professional		$13.25	$16.75	$33.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $22.87 / $85.00	Facility		$11.76	$22.87	$85.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $19.52 / $26.55	Professional		$7.77	$19.52	$26.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.52 / $20.00 / $24.45	Facility		$19.52	$20.00	$24.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $22.87 / $37.13	Professional		$17.53	$22.87	$37.13
United Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $10.74 / $24.12	Professional		$7.58	$10.74	$24.12
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $17.87 / $17.87 / $17.87	Facility		$17.87	$17.87	$17.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $17.87 / $17.87	Professional		$17.87	$17.87	$17.87