Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $31.62 / $97.72	Facility		$3.55	$31.62	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $3.98 / $28.18	Professional		$1.58	$3.98	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.17 / $5.13	Professional		$3.09	$4.17	$5.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $5.50 / $30.90	Professional		$2.24	$5.50	$30.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $8.32 / $33.88	Facility		$2.24	$8.32	$33.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $3.16 / $5.62	Professional		$2.24	$3.16	$5.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $2.75	Professional		$2.69	$2.69	$2.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Facility		$2.75	$2.75	$2.75
United Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.24 / $5.01	Facility		$2.24	$2.24	$5.01
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.24 / $5.13	Professional		$2.00	$2.24	$5.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.24 / $2.24	Professional		$1.78	$2.24	$2.24