Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.20 / $15.55 / $45.86	Facility		$6.20	$15.55	$45.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.43 / $36.97	Professional		$3.80	$4.43	$36.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $10.44 / $13.06	Professional		$6.61	$10.44	$13.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $10.06 / $19.73	Professional		$5.75	$10.06	$19.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $8.42 / $24.25	Facility		$5.75	$8.42	$24.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $5.75 / $14.49	Professional		$3.45	$5.75	$14.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $10.55 / $18.03	Facility		$6.17	$10.55	$18.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $10.55 / $15.01	Professional		$6.90	$10.55	$15.01
United Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $13.23	Professional		$3.45	$3.45	$13.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $5.75 / $5.75	Professional		$4.54	$5.75	$5.75