Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $14.79 / $26.30	Facility		$7.08	$14.79	$26.30
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $20.42 / $20.42 / $120.23	Facility	CQ	$20.42	$20.42	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.96 / $52.48	Professional		$7.08	$10.96	$52.48
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $7.76 / $8.71 / $22.91	Professional	CQ	$7.76	$8.71	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.38 / $28.84	Professional		$13.80	$17.38	$28.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.75 / $31.62	Professional		$9.77	$11.75	$31.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $14.79 / $37.15	Facility		$10.96	$14.79	$37.15
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $48.98 / $48.98 / $48.98	Facility	CQ	$48.98	$48.98	$48.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $20.89 / $38.02	Professional		$13.80	$20.89	$38.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.88 / $39.81	Professional		$15.49	$21.88	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $13.80 / $19.95	Facility		$12.59	$13.80	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.95 / $36.31	Professional		$13.80	$19.95	$36.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.78 / $20.89	Professional		$14.13	$17.78	$20.89