Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.37 / $16.37 / $36.18	Facility		$16.37	$16.37	$36.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $16.37 / $1,180.00	Professional		$13.10	$16.37	$1,180.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $15.38 / $19.22	Professional		$15.38	$15.38	$19.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.71 / $36.40 / $150.00	Professional		$31.71	$36.40	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $16.37 / $22.14	Facility		$1.00	$16.37	$22.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $13.64 / $14.05	Professional		$13.64	$13.64	$14.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $30.00 / $38.18	Facility		$1.00	$30.00	$38.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $16.39 / $16.39	Professional		$16.39	$16.39	$16.39
United Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $13.64 / $14.05	Professional		$13.64	$13.64	$14.05
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $13.64 / $13.64 / $13.64	Facility		$13.64	$13.64	$13.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $13.64 / $13.64	Professional		$13.64	$13.64	$13.64