Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.86 / $9.69 / $44.80	Facility		$3.86	$9.69	$44.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $2.76 / $21.00	Professional		$2.36	$2.76	$21.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $6.53 / $8.16	Professional		$4.13	$6.53	$8.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $6.27 / $16.03	Professional		$3.58	$6.27	$16.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.58 / $6.10 / $18.93	Facility		$3.58	$6.10	$18.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $5.00 / $9.34	Professional		$3.58	$5.00	$9.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $7.30 / $11.22	Facility		$4.38	$7.30	$11.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $7.30 / $10.31	Professional		$4.30	$7.30	$10.31
United Facility/Professional Facility Modifier Low / Median / High Price $3.58 / $3.58 / $3.58	Facility		$3.58	$3.58	$3.58
United Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $3.58 / $8.19	Professional		$3.15	$3.58	$8.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $3.58 / $3.58	Professional		$2.83	$3.58	$3.58