Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $0.80 / $0.80	Facility		$0.80	$0.80	$0.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $14.46	Professional		$0.80	$0.80	$14.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $25.46 / $31.33	Professional		$22.40	$25.46	$31.33
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 $0.80 / $4.28 / $90.00	Facility		$0.80	$4.28	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $25.46 / $25.46	Professional		$21.90	$25.46	$25.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.28 / $25.46 / $25.46	Facility		$25.28	$25.46	$25.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.96 / $22.96 / $25.46	Professional		$22.96	$22.96	$25.46
United Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $21.90 / $21.90	Professional		$21.90	$21.90	$21.90
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $21.20 / $21.20	Facility		$21.20	$21.20	$21.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $21.20 / $21.20	Professional		$16.75	$21.20	$21.20