Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.86 / $8.47 / $67.26	Facility		$3.86	$8.47	$67.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $2.76 / $9.69	Professional		$2.36	$2.76	$9.69
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 / $5.37 / $47.99	Professional		$3.58	$5.37	$47.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.58 / $7.69 / $44.33	Facility		$3.58	$7.69	$44.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $7.84 / $38.25	Professional		$2.15	$7.84	$38.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.62 / $7.84 / $44.33	Facility		$4.62	$7.84	$44.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $7.84 / $42.98	Professional		$4.30	$7.84	$42.98
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 $2.15 / $2.15 / $13.60	Professional		$2.15	$2.15	$13.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $3.58 / $3.58	Professional		$2.83	$3.58	$3.58