Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.26 / $52.80 / $124.08	Facility		$6.26	$52.80	$124.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.30 / $218.24	Professional		$2.82	$3.30	$218.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $7.83 / $9.78	Professional		$4.96	$7.83	$9.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $6.62 / $14.80	Professional		$4.28	$6.62	$14.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.28 / $5.56 / $14.28	Facility		$4.28	$5.56	$14.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $4.28 / $10.82	Professional		$2.29	$4.28	$10.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.21 / $7.18 / $11.08	Facility		$5.21	$7.18	$11.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $7.80 / $11.08	Professional		$5.14	$7.80	$11.08
United Facility/Professional Facility Modifier Low / Median / High Price $6.42 / $6.42 / $6.42	Facility		$6.42	$6.42	$6.42
United Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.57 / $9.84	Professional		$2.37	$2.57	$9.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.38 / $4.28 / $4.28	Professional		$3.38	$4.28	$4.28