Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $23.24 / $1,260.00	Facility		$9.61	$23.24	$1,260.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $50.22 / $712.80	Professional		$5.05	$50.22	$712.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $11.43 / $12.14	Professional		$9.71	$11.43	$12.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $15.37 / $189.07	Professional		$5.05	$15.37	$189.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.24 / $13.38 / $54.76	Facility		$6.24	$13.38	$54.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $6.19 / $57.79	Professional		$5.20	$6.19	$57.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.24 / $7.29 / $14.44	Facility		$6.24	$7.29	$14.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $12.66 / $27.75	Professional		$6.24	$12.66	$27.75
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.21 / $8.81	Professional		$5.05	$5.21	$8.81
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $5.20 / $5.20 / $5.20	Facility		$5.20	$5.20	$5.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $5.20 / $5.20	Professional		$5.20	$5.20	$5.20