Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.58 / $14.40 / $14.40	Facility		$7.58	$14.40	$14.40
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $20.32 / $20.32 / $120.89	Facility	CQ	$20.32	$20.32	$120.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $10.05 / $53.00	Professional		$7.58	$10.05	$53.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $4.83 / $8.35 / $8.74	Professional	CQ	$4.83	$8.35	$8.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $17.34 / $29.64	Professional		$13.88	$17.34	$29.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $11.99 / $26.00	Professional		$10.09	$11.99	$26.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.36 / $14.58 / $34.58	Facility		$9.36	$14.58	$34.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $21.12 / $49.63	Professional		$14.52	$21.12	$49.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.51 / $22.40 / $29.64	Facility		$15.51	$22.40	$29.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $22.11 / $34.40	Professional		$15.51	$22.11	$34.40
United Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $21.12 / $35.51	Professional		$12.80	$21.12	$35.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $17.80 / $20.90	Professional		$14.06	$17.80	$20.90