Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $74.13 / $123.03	Facility		$7.94	$74.13	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $7.59 / $66.07	Professional		$3.63	$7.59	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $9.55 / $12.02	Professional		$6.31	$9.55	$12.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $12.59 / $58.88	Professional		$5.13	$12.59	$58.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $23.99 / $95.50	Facility		$5.13	$23.99	$95.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $5.75 / $13.18	Professional		$3.09	$5.75	$13.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.76 / $79.43	Professional		$6.31	$6.76	$79.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $6.31	Facility		$6.31	$6.31	$6.31
United Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $11.48	Facility		$5.13	$5.13	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.37 / $12.59	Professional		$3.09	$4.37	$12.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.13 / $5.13	Professional		$4.07	$5.13	$5.13