Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $18.62 / $52.42	Facility		$14.90	$18.62	$52.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $15.45 / $18.62	Professional		$14.90	$15.45	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $17.04 / $21.09	Professional		$16.88	$17.04	$21.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $24.97 / $29.28	Professional		$20.28	$24.97	$29.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $28.49 / $90.00	Facility		$14.90	$28.49	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $18.50 / $20.72	Professional		$7.40	$18.50	$20.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1.00 / $15.21	Facility		$0.90	$1.00	$15.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $15.21 / $15.21	Professional		$15.21	$15.21	$15.21
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $17.30 / $19.39	Professional		$6.92	$17.30	$19.39
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $7.06 / $7.06 / $7.06	Facility		$7.06	$7.06	$7.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $7.06 / $7.06	Professional		$5.58	$7.06	$7.06