Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $10.47 / $15.85	Facility		$3.98	$10.47	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $8.71	Professional		$3.02	$3.98	$8.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $10.23 / $12.88	Professional		$6.76	$10.23	$12.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $10.00 / $61.66	Professional		$5.50	$10.00	$61.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $7.08 / $17.38	Facility		$5.50	$7.08	$17.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $5.62 / $14.45	Professional		$3.31	$5.62	$14.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.76 / $7.08	Professional		$6.61	$6.76	$7.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Facility		$6.76	$6.76	$6.76
United Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $12.02	Facility		$5.50	$5.50	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.57 / $13.18	Professional		$3.31	$4.57	$13.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.50 / $5.50	Professional		$4.37	$5.50	$5.50