Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $9.33 / $54.95	Facility		$3.89	$9.33	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $7.41 / $30.90	Professional		$2.63	$7.41	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.59 / $9.55	Professional		$5.62	$7.59	$9.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $9.55 / $26.92	Professional		$3.89	$9.55	$26.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $5.89 / $20.89	Facility		$3.89	$5.89	$20.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.50 / $10.00	Professional		$3.89	$5.50	$10.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $4.79	Professional		$4.68	$4.68	$4.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Facility		$4.79	$4.79	$4.79
United Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $8.71	Facility		$3.89	$3.89	$8.71
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.89 / $8.91	Professional		$3.47	$3.89	$8.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.89 / $3.89	Professional		$3.09	$3.89	$3.89