Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $8.71 / $13.18	Facility		$3.02	$8.71	$13.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.89 / $9.12	Professional		$3.02	$3.89	$9.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $8.91 / $11.22	Professional		$5.62	$8.91	$11.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $11.22 / $19.95	Professional		$4.57	$11.22	$19.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $5.89 / $14.45	Facility		$4.57	$5.89	$14.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $5.50 / $11.48	Professional		$2.75	$5.50	$11.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.89 / $5.89	Professional		$5.62	$5.89	$5.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Facility		$5.62	$5.62	$5.62
United Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $4.57 / $10.00	Facility		$4.57	$4.57	$10.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.80 / $10.96	Professional		$2.75	$3.80	$10.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.57 / $4.57	Professional		$3.63	$4.57	$4.57