Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.16 / $13.00 / $114.92	Facility		$7.16	$13.00	$114.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $4.80 / $9.11	Professional		$4.80	$4.80	$9.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $11.10 / $13.87	Professional		$7.02	$11.10	$13.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $10.90 / $20.54	Professional		$6.23	$10.90	$20.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.23 / $8.03 / $21.79	Facility		$6.23	$8.03	$21.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $6.68 / $13.66	Professional		$6.23	$6.68	$13.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.60 / $11.00 / $16.20	Facility		$5.60	$11.00	$16.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $11.00 / $16.20	Professional		$6.92	$11.00	$16.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $6.23 / $12.83	Professional		$6.23	$6.23	$12.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.92 / $6.23 / $6.23	Professional		$4.92	$6.23	$6.23