Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.09 / $19.14 / $19.72	Facility		$9.09	$19.14	$19.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $6.02 / $19.14	Professional		$5.77	$6.02	$19.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $7.58 / $8.06	Professional		$6.45	$7.58	$8.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $11.68 / $150.00	Professional		$5.77	$11.68	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.02 / $7.58 / $19.14	Facility		$6.02	$7.58	$19.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $6.02 / $9.59	Professional		$6.02	$6.02	$9.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.23 / $9.26 / $14.50	Facility		$7.23	$9.26	$14.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $7.58 / $9.71	Professional		$7.04	$7.58	$9.71
United Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $5.94	Professional		$5.77	$5.77	$5.94
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $6.02 / $6.02 / $6.02	Facility		$6.02	$6.02	$6.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $6.02 / $6.02	Professional		$6.02	$6.02	$6.02