Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $31.79 / $143.69	Facility		$4.80	$31.79	$143.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $5.05 / $30.80	Professional		$2.52	$5.05	$30.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $5.88 / $7.34	Professional		$3.72	$5.88	$7.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $4.45 / $14.35	Professional		$3.28	$4.45	$14.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.28 / $6.22 / $32.40	Facility		$3.28	$6.22	$32.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $3.28 / $7.19	Professional		$2.52	$3.28	$7.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.87 / $5.31 / $7.19	Facility		$2.87	$5.31	$7.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $5.20 / $7.19	Professional		$3.28	$5.20	$7.19
United Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $3.28 / $6.76	Professional		$2.52	$3.28	$6.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $3.28 / $3.28	Professional		$2.59	$3.28	$3.28