Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.88 / $11.10 / $672.90	Facility		$5.88	$11.10	$672.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $5.41 / $20.00	Professional		$3.10	$5.41	$20.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $7.18 / $8.98	Professional		$4.54	$7.18	$8.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $7.04 / $17.46	Professional		$4.01	$7.04	$17.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $5.32 / $12.55	Facility		$4.01	$5.32	$12.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.63 / $9.14	Professional		$4.01	$4.63	$9.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $7.05 / $11.19	Facility		$3.88	$7.05	$11.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.05 / $10.49	Professional		$4.79	$7.05	$10.49
United Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $4.01 / $4.01	Facility		$4.01	$4.01	$4.01
United Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $8.80	Professional		$4.01	$4.01	$8.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $4.01 / $4.01	Professional		$3.18	$4.01	$4.01