Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $25.12 / $37.15	Facility		$10.00	$25.12	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $19.05	Professional		$7.94	$10.96	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $25.70 / $31.62	Professional		$15.85	$25.70	$31.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.50 / $24.55	Professional		$12.88	$19.50	$24.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $15.85 / $29.51	Facility		$8.71	$15.85	$29.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $10.96 / $27.54	Professional		$4.37	$10.96	$27.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $15.85 / $17.38	Professional		$6.31	$15.85	$17.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $6.31	Facility		$6.31	$6.31	$6.31
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $29.51	Facility		$13.49	$13.49	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $7.94 / $21.88	Professional		$4.37	$7.94	$21.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.49 / $13.49	Professional		$10.47	$13.49	$13.49