Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.00 / $15.35 / $21.05	Facility		$7.00	$15.35	$21.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $5.00 / $17.55	Professional		$4.28	$5.00	$17.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $11.75 / $14.69	Professional		$7.43	$11.75	$14.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $11.36 / $13.08	Professional		$6.49	$11.36	$13.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.49 / $8.44 / $24.25	Facility		$6.49	$8.44	$24.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $6.49 / $14.93	Professional		$3.89	$6.49	$14.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.07 / $11.00 / $17.44	Facility		$6.07	$11.00	$17.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $11.00 / $16.94	Professional		$7.49	$11.00	$16.94
United Facility/Professional Facility Modifier Low / Median / High Price $6.49 / $6.49 / $6.49	Facility		$6.49	$6.49	$6.49
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.16 / $13.84	Professional		$3.89	$4.16	$13.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.49 / $6.49	Professional		$5.13	$6.49	$6.49