Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $12.88 / $19.95	Facility		$5.01	$12.88	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.75 / $13.80	Professional		$3.98	$5.75	$13.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $13.18 / $16.22	Professional		$8.32	$13.18	$16.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $16.60 / $41.69	Professional		$6.92	$16.60	$41.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $8.91 / $21.38	Facility		$6.92	$8.91	$21.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $8.13 / $18.20	Professional		$4.07	$8.13	$18.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $8.91	Professional		$8.32	$8.32	$8.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Facility		$8.32	$8.32	$8.32
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $6.92 / $15.14	Facility		$6.92	$6.92	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.75 / $16.60	Professional		$4.07	$5.75	$16.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.92 / $6.92	Professional		$5.37	$6.92	$6.92