Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $12.59 / $66.07	Facility		$3.02	$12.59	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $22.39	Professional		$3.02	$3.98	$22.39
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 $4.68 / $11.22 / $51.29	Professional		$4.68	$11.22	$51.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $6.03 / $14.45	Facility		$4.68	$6.03	$14.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $5.62 / $12.02	Professional		$2.75	$5.62	$12.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $6.03 / $6.03	Professional		$5.62	$6.03	$6.03
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 $4.68 / $4.68 / $10.23	Facility		$4.68	$4.68	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.89 / $11.22	Professional		$2.75	$3.89	$11.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.68 / $4.68	Professional		$3.63	$4.68	$4.68