Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $38.11 / $63.49	Facility		$5.15	$38.11	$63.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $5.62 / $28.09	Professional		$3.45	$5.62	$28.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $8.49 / $10.61	Professional		$5.37	$8.49	$10.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $7.84 / $27.13	Professional		$4.48	$7.84	$27.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.48 / $7.50 / $19.76	Facility		$4.48	$7.50	$19.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $4.61 / $11.69	Professional		$2.69	$4.61	$11.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.48 / $9.11 / $14.04	Facility		$5.48	$9.11	$14.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.38 / $9.11 / $12.89	Professional		$5.38	$9.11	$12.89
United Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.65 / $10.30	Professional		$2.69	$3.65	$10.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $4.48 / $4.48	Professional		$3.54	$4.48	$4.48