Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.97 / $33.71 / $78.97	Facility		$6.97	$33.71	$78.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $4.76 / $30.00	Professional		$3.67	$4.76	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $9.14 / $11.42	Professional		$5.71	$9.14	$11.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $8.33 / $25.74	Professional		$4.76	$8.33	$25.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $8.32 / $34.15	Facility		$4.76	$8.32	$34.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $4.90 / $12.42	Professional		$2.86	$4.90	$12.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.63 / $9.36 / $14.92	Facility		$5.63	$9.36	$14.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $9.36 / $13.17	Professional		$5.71	$9.36	$13.17
United Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $3.85 / $12.04	Professional		$2.86	$3.85	$12.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $4.76 / $4.76	Professional		$3.76	$4.76	$4.76