Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.58 / $9.58 / $28.47	Facility		$9.58	$9.58	$28.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $7.66 / $9.58	Professional		$7.66	$7.66	$9.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $7.99 / $9.98	Professional		$7.99	$7.99	$9.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $40.72 / $199.10	Professional		$34.72	$40.72	$199.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $9.58 / $25.17	Facility		$1.00	$9.58	$25.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $7.98 / $8.22	Professional		$7.98	$7.98	$8.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1.00 / $8.78	Facility		$0.90	$1.00	$8.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $8.78 / $8.78	Professional		$8.78	$8.78	$8.78
United Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $7.98 / $8.14	Professional		$7.98	$7.98	$8.14
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $7.98 / $7.98 / $7.98	Facility		$7.98	$7.98	$7.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $7.98 / $7.98	Professional		$7.98	$7.98	$7.98