Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.56 / $12.19 / $29.29	Facility		$5.56	$12.19	$29.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.41 / $3.97 / $13.93	Professional		$3.41	$3.97	$13.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $9.14 / $11.42	Professional		$5.78	$9.14	$11.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.16 / $9.02 / $34.53	Professional		$5.16	$9.02	$34.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.16 / $10.53 / $32.74	Facility		$5.16	$10.53	$32.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $6.04 / $18.00	Professional		$3.10	$6.04	$18.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.66 / $10.51 / $19.96	Facility		$6.66	$10.51	$19.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $11.07 / $19.73	Professional		$6.19	$11.07	$19.73
United Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $4.54 / $12.49	Professional		$3.10	$4.54	$12.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $5.16 / $5.16	Professional		$4.08	$5.16	$5.16