Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $15.16 / $33.51	Facility		$15.16	$15.16	$33.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $12.13 / $15.16	Professional		$12.13	$12.13	$15.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $8.15 / $8.44	Professional		$6.75	$8.15	$8.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $20.79 / $150.00	Professional		$10.72	$20.79	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $8.75 / $18.01	Facility		$6.03	$8.75	$18.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $12.43 / $16.63	Professional		$10.57	$12.43	$16.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $10.16 / $14.85	Facility		$8.15	$10.16	$14.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $11.44 / $17.55	Professional		$7.70	$11.44	$17.55
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $12.43 / $12.80	Professional		$12.43	$12.43	$12.80
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $12.43 / $12.43	Facility		$12.43	$12.43	$12.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $12.43 / $12.43	Professional		$12.43	$12.43	$12.43