Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.04 / $17.66 / $27.73	Facility		$7.04	$17.66	$27.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $5.03 / $17.66	Professional		$4.30	$5.03	$17.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $11.75 / $14.69	Professional		$7.43	$11.75	$14.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $11.43 / $145.56	Professional		$6.53	$11.43	$145.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.53 / $10.96 / $31.50	Facility		$6.53	$10.96	$31.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $6.73 / $17.73	Professional		$3.92	$6.73	$17.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $13.32 / $20.47	Facility		$8.00	$13.32	$20.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $13.32 / $18.73	Professional		$7.85	$13.32	$18.73
United Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $5.47 / $15.02	Professional		$3.92	$5.47	$15.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.16 / $6.53 / $6.53	Professional		$5.16	$6.53	$6.53