Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.56 / $38.54 / $111.60	Facility		$5.56	$38.54	$111.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $3.80 / $23.83	Professional		$2.93	$3.80	$23.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $7.18 / $8.98	Professional		$4.54	$7.18	$8.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $6.65 / $20.20	Professional		$3.80	$6.65	$20.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $6.41 / $37.90	Facility		$3.80	$6.41	$37.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $3.82 / $9.61	Professional		$2.27	$3.82	$9.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $7.01 / $11.91	Facility		$4.21	$7.01	$11.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $7.01 / $9.92	Professional		$4.55	$7.01	$9.92
United Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.89 / $8.74	Professional		$2.27	$2.89	$8.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.80 / $3.80	Professional		$3.00	$3.80	$3.80