Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.07 / $11.11 / $15.68	Facility		$5.07	$11.11	$15.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.62 / $12.71	Professional		$3.10	$3.62	$12.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $9.14 / $11.42	Professional		$5.64	$9.14	$11.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.70 / $8.23 / $18.94	Professional		$4.70	$8.23	$18.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.70 / $6.11 / $18.20	Facility		$4.70	$6.11	$18.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.70 / $5.38 / $10.63	Professional		$4.70	$5.38	$10.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $8.19 / $13.69	Facility		$4.51	$8.19	$13.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $8.19 / $12.27	Professional		$5.58	$8.19	$12.27
United Facility/Professional Professional Modifier Low / Median / High Price $4.70 / $4.70 / $16.62	Professional		$4.70	$4.70	$16.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $4.70 / $4.70	Professional		$3.71	$4.70	$4.70