Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $14.37 / $14.37	Facility		$14.37	$14.37	$14.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $14.37 / $14.37	Professional		$12.62	$14.37	$14.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $14.21 / $14.21	Facility		$14.21	$14.21	$14.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $21.75 / $27.19	Professional		$14.21	$21.75	$27.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $90.00 / $90.00	Facility		$14.37	$90.00	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $12.94 / $28.29	Professional		$10.50	$12.94	$28.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $29.28 / $29.28	Facility		$20.89	$29.28	$29.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.58 / $29.28 / $38.01	Professional		$22.58	$29.28	$38.01
United Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $11.47 / $28.29	Professional		$10.77	$11.47	$28.29
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $18.80 / $18.80	Facility		$18.80	$18.80	$18.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $18.80 / $18.80	Professional		$14.85	$18.80	$18.80