Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $10.10 / $29.21	Facility		$4.61	$10.10	$29.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.29 / $11.55	Professional		$2.82	$3.29	$11.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $7.83 / $9.78	Professional		$4.96	$7.83	$9.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $7.47 / $41.94	Professional		$4.26	$7.47	$41.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $7.15 / $14.10	Facility		$4.26	$7.15	$14.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $4.40 / $11.14	Professional		$2.56	$4.40	$11.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.23 / $8.72 / $13.39	Facility		$5.23	$8.72	$13.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $8.72 / $12.22	Professional		$5.13	$8.72	$12.22
United Facility/Professional Facility Modifier Low / Median / High Price $6.41 / $6.41 / $6.41	Facility		$6.41	$6.41	$6.41
United Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $2.56 / $9.82	Professional		$2.56	$2.56	$9.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $4.26 / $4.26	Professional		$3.37	$4.26	$4.26