Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Facility		$15.00	$15.00	$15.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $15.00	Professional		$2.49	$2.49	$15.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $18.18 / $19.53	Facility		$18.18	$18.18	$19.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $10.94 / $13.28	Professional		$9.26	$10.94	$13.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $46.12	Professional		$2.49	$2.49	$46.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.48 / $13.28 / $18.59	Facility		$2.48	$13.28	$18.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $2.48 / $15.32	Professional		$2.48	$2.48	$15.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.98 / $11.65 / $15.32	Facility		$2.98	$11.65	$15.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $10.94 / $15.32	Professional		$10.91	$10.94	$15.32
United Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $2.74	Professional		$2.49	$2.49	$2.74
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2.48 / $2.48 / $2.48	Facility		$2.48	$2.48	$2.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $2.48 / $2.48	Professional		$1.96	$2.48	$2.48