Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $13.49 / $75.86	Facility		$3.98	$13.49	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $36.31	Professional		$3.98	$5.01	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.96 / $13.80	Professional		$7.08	$10.96	$13.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $14.13 / $51.29	Professional		$5.75	$14.13	$51.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $7.59 / $18.20	Facility		$5.75	$7.59	$18.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $6.92 / $15.14	Professional		$3.47	$6.92	$15.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $7.08 / $7.41	Professional		$6.92	$7.08	$7.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Facility		$7.08	$7.08	$7.08
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $12.88	Facility		$5.75	$5.75	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.79 / $14.13	Professional		$3.47	$4.79	$14.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.75 / $5.75	Professional		$4.57	$5.75	$5.75