Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $12.75 / $26.52	Facility		$12.75	$12.75	$26.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $9.60 / $12.75	Professional		$9.60	$9.60	$12.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $28.50 / $35.63	Professional		$28.50	$28.50	$35.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $42.73 / $150.00	Professional		$23.00	$42.73	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.53 / $26.23 / $48.44	Facility		$6.53	$26.23	$48.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $10.63 / $35.84	Professional		$10.63	$10.63	$35.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.53 / $26.23 / $35.84	Facility		$5.53	$26.23	$35.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $29.93 / $52.70	Professional		$24.46	$29.93	$52.70
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.30	Professional		$10.00	$10.00	$10.30
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $11.88 / $11.88	Facility		$11.88	$11.88	$11.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $11.88	Professional		$11.88	$11.88	$11.88