Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $14.52 / $32.10	Facility		$14.52	$14.52	$32.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $11.62 / $14.52	Professional		$11.62	$11.62	$14.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $12.10 / $12.10	Facility		$12.10	$12.10	$12.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $11.63 / $14.53	Professional		$11.63	$11.63	$14.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $10.91 / $150.00	Professional		$9.50	$10.91	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $14.52 / $19.64	Facility		$1.00	$14.52	$19.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $12.10 / $12.46	Professional		$12.10	$12.10	$12.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1.00 / $12.71	Facility		$0.90	$1.00	$12.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $12.71 / $12.71	Professional		$12.71	$12.71	$12.71
United Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $12.10 / $12.46	Professional		$12.10	$12.10	$12.46
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $12.10 / $12.10	Facility		$12.10	$12.10	$12.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $12.10 / $12.10	Professional		$12.10	$12.10	$12.10