Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.62 / $7.62 / $2,655.15	Facility		$7.62	$7.62	$2,655.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $7.62	Professional		$6.73	$6.73	$7.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $6.49 / $8.11	Professional		$6.49	$6.49	$8.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $12.18 / $14.49	Professional		$7.40	$12.18	$14.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.62 / $6.73 / $8.27	Facility		$6.62	$6.73	$8.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $8.26	Professional		$6.73	$6.73	$8.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $8.07 / $9.52	Facility		$1.00	$8.07	$9.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.62 / $8.27	Professional		$7.24	$7.62	$8.27
United Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $6.93	Professional		$6.73	$6.73	$6.93
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $6.73 / $6.73	Facility		$6.73	$6.73	$6.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $6.73	Professional		$6.73	$6.73	$6.73