Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $15.14 / $21.88	Facility		$6.03	$15.14	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $15.85	Professional		$5.01	$6.03	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.85 / $19.95	Professional		$9.55	$15.85	$19.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $14.45 / $85.11	Professional		$7.94	$14.45	$85.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $10.00 / $21.38	Facility		$7.94	$10.00	$21.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.94 / $17.38	Professional		$4.79	$7.94	$17.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.55 / $10.23	Professional		$7.24	$9.55	$10.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Facility		$7.24	$7.24	$7.24
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $17.78	Facility		$7.94	$7.94	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.01 / $17.38	Professional		$4.79	$5.01	$17.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.94 / $7.94	Professional		$6.31	$7.94	$7.94