Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.48 / $14.21 / $25.51	Facility		$6.48	$14.21	$25.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.97 / $4.63 / $16.25	Professional		$3.97	$4.63	$16.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $11.10 / $13.87	Professional		$7.02	$11.10	$13.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $10.52 / $66.61	Professional		$6.01	$10.52	$66.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.01 / $10.06 / $29.10	Facility		$6.01	$10.06	$29.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $6.19 / $16.59	Professional		$3.61	$6.19	$16.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.35 / $12.24 / $18.84	Facility		$7.35	$12.24	$18.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $12.24 / $16.78	Professional		$7.22	$12.24	$16.78
United Facility/Professional Facility Modifier Low / Median / High Price $6.01 / $6.01 / $13.82	Facility		$6.01	$6.01	$13.82
United Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $5.03 / $15.20	Professional		$3.61	$5.03	$15.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $6.01 / $6.01	Professional		$4.75	$6.01	$6.01