Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $13.26 / $31.05	Facility		$6.05	$13.26	$31.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $4.32 / $15.16	Professional		$3.70	$4.32	$15.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $9.78 / $12.24	Professional		$6.20	$9.78	$12.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $9.82 / $18.94	Professional		$5.61	$9.82	$18.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.61 / $8.68 / $25.47	Facility		$5.61	$8.68	$25.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $5.64 / $14.46	Professional		$3.37	$5.64	$14.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $10.55 / $17.59	Facility		$6.34	$10.55	$17.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $10.55 / $14.83	Professional		$6.65	$10.55	$14.83
United Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $4.34 / $14.19	Professional		$3.37	$4.34	$14.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.43 / $5.61 / $5.61	Professional		$4.43	$5.61	$5.61