Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.52 / $14.31 / $25.73	Facility		$6.52	$14.31	$25.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $4.66 / $16.36	Professional		$3.99	$4.66	$16.36
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 $6.05 / $10.59 / $40.70	Professional		$6.05	$10.59	$40.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $10.16 / $29.10	Facility		$6.05	$10.16	$29.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $6.23 / $16.63	Professional		$3.63	$6.23	$16.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.42 / $12.33 / $18.97	Facility		$7.42	$12.33	$18.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $12.33 / $17.35	Professional		$7.27	$12.33	$17.35
United Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $6.05 / $13.92	Facility		$6.05	$6.05	$13.92
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.94 / $14.65	Professional		$3.63	$4.94	$14.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $6.05 / $6.05	Professional		$4.78	$6.05	$6.05