Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $18.89 / $25.32	Facility		$8.61	$18.89	$25.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $6.16 / $21.62	Professional		$5.28	$6.16	$21.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $15.01 / $18.77	Professional		$9.50	$15.01	$18.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $14.00 / $72.78	Professional		$8.00	$14.00	$72.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $10.32 / $29.10	Facility		$8.00	$10.32	$29.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $8.00 / $18.39	Professional		$4.80	$8.00	$18.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.30 / $14.66 / $21.16	Facility		$7.30	$14.66	$21.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $14.35 / $20.88	Professional		$9.01	$14.35	$20.88
United Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $5.00 / $26.88	Professional		$4.80	$5.00	$26.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $8.00 / $8.00	Professional		$6.32	$8.00	$8.00