Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $8.51 / $66.07	Facility		$3.02	$8.51	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $28.84	Professional		$3.02	$3.98	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $8.91 / $11.22	Professional		$5.50	$8.91	$11.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $10.96 / $18.62	Professional		$4.47	$10.96	$18.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $5.89 / $14.13	Facility		$4.47	$5.89	$14.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $5.37 / $11.48	Professional		$2.69	$5.37	$11.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.50 / $5.89	Professional		$5.37	$5.50	$5.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Facility		$5.50	$5.50	$5.50
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $10.00	Facility		$4.47	$4.47	$10.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.80 / $10.96	Professional		$2.69	$3.80	$10.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.47 / $4.47	Professional		$3.55	$4.47	$4.47