Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.24 / $6.24 / $6.24	Facility		$6.24	$6.24	$6.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $12.09 / $15.51	Professional		$6.12	$12.09	$15.51
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 $16.20 / $16.29 / $29.48	Professional		$16.20	$16.29	$29.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.85 / $22.35 / $90.00	Facility		$13.85	$22.35	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $16.77 / $27.28	Professional		$8.33	$16.77	$27.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.88 / $18.19 / $22.41	Facility		$17.88	$18.19	$22.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $19.96 / $34.25	Professional		$14.44	$19.96	$34.25
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $13.59 / $28.46	Professional		$8.13	$13.59	$28.46
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $16.29	Facility		$16.29	$16.29	$16.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $16.29 / $16.29	Professional		$16.29	$16.29	$16.29