Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.23 / $15.62 / $47.82	Facility		$6.23	$15.62	$47.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $4.45 / $35.00	Professional		$3.81	$4.45	$35.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $10.44 / $13.06	Professional		$6.61	$10.44	$13.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $10.11 / $18.94	Professional		$5.78	$10.11	$18.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.78 / $8.68 / $25.47	Facility		$5.78	$8.68	$25.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.78 / $14.62	Professional		$3.47	$5.78	$14.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $10.60 / $18.12	Facility		$6.34	$10.60	$18.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $10.60 / $15.09	Professional		$6.94	$10.60	$15.09
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.22 / $13.29	Professional		$3.47	$4.22	$13.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.78 / $5.78	Professional		$4.57	$5.78	$5.78