Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $12.30 / $52.48	Facility		$3.98	$12.30	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $42.66	Professional		$3.98	$6.03	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.30 / $15.49	Professional		$7.94	$12.30	$15.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $15.85 / $61.66	Professional		$6.46	$15.85	$61.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $8.32 / $20.42	Facility		$6.46	$8.32	$20.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $7.76 / $16.98	Professional		$3.89	$7.76	$16.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.94 / $8.32	Professional		$7.76	$7.94	$8.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Facility		$7.94	$7.94	$7.94
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $14.45	Facility		$6.46	$6.46	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.37 / $15.49	Professional		$3.89	$5.37	$15.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.46 / $6.46	Professional		$5.13	$6.46	$6.46