Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.47 / $88.68 / $369.37	Facility		$6.47	$88.68	$369.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $98.20 / $839.12	Professional		$4.01	$98.20	$839.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $9.14 / $11.42	Professional		$5.78	$9.14	$11.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $9.14 / $34.18	Professional		$5.22	$9.14	$34.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $8.76 / $25.47	Facility		$5.22	$8.76	$25.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $5.22 / $13.43	Professional		$3.13	$5.22	$13.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.39 / $10.64 / $16.36	Facility		$6.39	$10.64	$16.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $10.64 / $15.04	Professional		$6.27	$10.64	$15.04
United Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $4.38 / $12.01	Professional		$3.13	$4.38	$12.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $5.22 / $5.22	Professional		$4.12	$5.22	$5.22