Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.85 / $27.19 / $112.10	Facility		$5.85	$27.19	$112.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $3.08 / $25.72	Professional		$2.64	$3.08	$25.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $7.18 / $8.98	Professional		$4.54	$7.18	$8.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $7.00 / $33.29	Professional		$4.00	$7.00	$33.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $6.25 / $22.78	Facility		$4.00	$6.25	$22.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $4.00 / $10.24	Professional		$2.40	$4.00	$10.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.49 / $7.45 / $12.54	Facility		$4.49	$7.45	$12.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $7.45 / $10.56	Professional		$4.80	$7.45	$10.56
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.99 / $9.19	Professional		$2.40	$2.99	$9.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $4.00 / $4.00	Professional		$3.16	$4.00	$4.00