Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $17.38 / $69.18	Facility		$5.01	$17.38	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $46.77	Professional		$3.98	$6.03	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.45 / $18.20	Professional		$8.91	$14.45	$18.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $17.78 / $42.66	Professional		$7.24	$17.78	$42.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $9.55 / $22.91	Facility		$7.24	$9.55	$22.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $8.71 / $19.05	Professional		$4.37	$8.71	$19.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.91 / $9.33	Professional		$8.71	$8.91	$9.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Facility		$8.91	$8.91	$8.91
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $16.22	Facility		$7.24	$7.24	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $6.03 / $17.78	Professional		$4.37	$6.03	$17.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.24 / $7.24	Professional		$5.75	$7.24	$7.24