Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.42 / $13.72 / $91.47	Facility		$7.42	$13.72	$91.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.91 / $31.85	Professional		$3.35	$3.91	$31.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $9.14 / $11.42	Professional		$5.78	$9.14	$11.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $8.89 / $23.43	Professional		$5.08	$8.89	$23.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.08 / $7.97 / $23.06	Facility		$5.08	$7.97	$23.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.05 / $5.23 / $13.26	Professional		$3.05	$5.23	$13.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $9.67 / $15.93	Facility		$5.81	$9.67	$15.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $9.67 / $13.61	Professional		$6.10	$9.67	$13.61
United Facility/Professional Professional Modifier Low / Median / High Price $3.05 / $3.98 / $11.68	Professional		$3.05	$3.98	$11.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $5.08 / $5.08	Professional		$4.01	$5.08	$5.08