Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $15.49 / $22.39	Facility		$6.03	$15.49	$22.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $8.91	Professional		$5.01	$6.03	$8.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.85 / $19.95	Professional		$11.75	$15.85	$19.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.47 / $14.45	Professional		$6.92	$10.47	$14.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $9.77 / $22.39	Facility		$8.13	$9.77	$22.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $20.42	Professional		$4.79	$4.79	$20.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $17.78	Facility		$8.13	$8.13	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $17.78	Professional		$4.79	$4.79	$17.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.13 / $8.13	Professional		$6.31	$8.13	$8.13