Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.91 / $31.53 / $103.97	Facility		$3.91	$31.53	$103.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $4.03 / $32.04	Professional		$1.73	$4.03	$32.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $3.92 / $4.90	Professional		$2.48	$3.92	$4.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $3.94 / $10.25	Professional		$2.25	$3.94	$10.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.70 / $7.05 / $33.60	Facility		$2.70	$7.05	$33.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $3.14 / $5.61	Professional		$2.25	$3.14	$5.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $4.55 / $7.05	Facility		$2.75	$4.55	$7.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $4.55 / $6.47	Professional		$2.71	$4.55	$6.47
United Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $2.25 / $2.25	Facility		$2.25	$2.25	$2.25
United Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $4.93	Professional		$2.25	$2.25	$4.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.25 / $2.25	Professional		$1.78	$2.25	$2.25