Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.96 / $14.30 / $65.95	Facility		$5.96	$14.30	$65.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $3.99 / $41.00	Professional		$3.42	$3.99	$41.00
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 $5.18 / $9.07 / $44.40	Professional		$5.18	$9.07	$44.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.22 / $10.67 / $417.03	Facility		$6.22	$10.67	$417.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $5.34 / $13.52	Professional		$3.11	$5.34	$13.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $10.55 / $16.23	Facility		$6.34	$10.55	$16.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $10.55 / $14.83	Professional		$6.22	$10.55	$14.83
United Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.18 / $11.91	Professional		$3.11	$3.18	$11.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.18 / $5.18	Professional		$4.09	$5.18	$5.18