Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $18.00 / $33.24	Facility		$18.00	$18.00	$33.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $18.00 / $39.46	Professional		$15.04	$18.00	$39.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.95 / $19.13	Professional		$15.30	$15.95	$19.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $113.87	Professional		$15.04	$15.04	$113.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.50 / $18.00 / $23.14	Facility		$1.50	$18.00	$23.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $15.03 / $22.55	Professional		$15.03	$15.03	$22.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.03 / $22.55 / $31.65	Facility		$18.03	$22.55	$31.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $18.04 / $31.77	Professional		$17.00	$18.04	$31.77
United Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $15.49	Professional		$15.04	$15.04	$15.49
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1.50 / $1.50 / $1.50	Facility		$1.50	$1.50	$1.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $1.50 / $1.50	Professional		$1.50	$1.50	$1.50