Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $13.18 / $41.69	Facility		$3.98	$13.18	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $36.31	Professional		$3.98	$5.01	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $10.23 / $12.88	Professional		$6.61	$10.23	$12.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $11.75 / $25.70	Professional		$5.62	$11.75	$25.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $7.24 / $17.78	Facility		$5.62	$7.24	$17.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $5.75 / $13.18	Professional		$3.31	$5.75	$13.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $7.24	Professional		$5.75	$5.75	$7.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Facility		$5.75	$5.75	$5.75
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $5.62 / $12.30	Facility		$5.62	$5.62	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.98 / $12.88	Professional		$3.31	$3.98	$12.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.62 / $5.62	Professional		$4.37	$5.62	$5.62