Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $16.22 / $25.12	Facility		$6.03	$16.22	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.08 / $17.38	Professional		$5.01	$7.08	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $16.60 / $20.89	Professional		$10.47	$16.60	$20.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $20.89 / $63.10	Professional		$8.51	$20.89	$63.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $11.22 / $26.92	Facility		$8.51	$11.22	$26.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $10.23 / $22.39	Professional		$5.13	$10.23	$22.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.96 / $95.50	Professional		$10.23	$10.96	$95.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.51 / $19.05	Facility		$8.51	$8.51	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.08 / $20.89	Professional		$5.13	$7.08	$20.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.51 / $8.51	Professional		$6.76	$8.51	$8.51