Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $10.78 / $19.32	Facility		$4.91	$10.78	$19.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $3.51 / $12.32	Professional		$3.01	$3.51	$12.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $8.49 / $10.61	Professional		$5.37	$8.49	$10.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $7.98 / $17.26	Professional		$4.55	$7.98	$17.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $7.62 / $21.79	Facility		$4.55	$7.62	$21.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.74 / $4.70 / $11.90	Professional		$2.74	$4.70	$11.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.57 / $9.27 / $14.30	Facility		$5.57	$9.27	$14.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $9.27 / $13.13	Professional		$5.47	$9.27	$13.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.74 / $3.81 / $11.03	Professional		$2.74	$3.81	$11.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $4.55 / $4.55	Professional		$3.60	$4.55	$4.55