Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $16.60 / $22.91	Facility		$6.03	$16.60	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.76 / $12.59	Professional		$5.01	$6.76	$12.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $15.85 / $19.95	Professional		$9.77	$15.85	$19.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $14.45 / $44.67	Professional		$7.94	$14.45	$44.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $10.47 / $25.12	Facility		$7.94	$10.47	$25.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $9.55 / $20.89	Professional		$4.79	$9.55	$20.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.77 / $10.23	Professional		$9.55	$9.77	$10.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Facility		$9.77	$9.77	$9.77
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $17.78	Facility		$7.94	$7.94	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.61 / $19.50	Professional		$4.79	$6.61	$19.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.94 / $7.94	Professional		$6.31	$7.94	$7.94