Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.94 / $13.02 / $35.69	Facility		$5.94	$13.02	$35.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.24 / $14.88	Professional		$3.63	$4.24	$14.88
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 $5.50 / $9.63 / $54.31	Professional		$5.50	$9.63	$54.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $9.23 / $26.67	Facility		$5.50	$9.23	$26.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $5.50 / $15.18	Professional		$3.30	$5.50	$15.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $11.20 / $17.23	Facility		$6.73	$11.20	$17.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $11.20 / $15.51	Professional		$6.60	$11.20	$15.51
United Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Facility		$5.50	$5.50	$5.50
United Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $4.61 / $12.65	Professional		$3.30	$4.61	$12.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $5.50 / $5.50	Professional		$4.34	$5.50	$5.50