Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $8.13 / $11.75	Facility		$3.02	$8.13	$11.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $28.18	Professional		$3.02	$3.98	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $8.32 / $10.23	Professional		$5.25	$8.32	$10.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $10.47 / $39.81	Professional		$4.27	$10.47	$39.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $5.50 / $13.49	Facility		$4.27	$5.50	$13.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $6.03 / $10.96	Professional		$4.27	$6.03	$10.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.25 / $5.50	Professional		$5.13	$5.25	$5.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Facility		$5.25	$5.25	$5.25
United Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $9.33	Facility		$4.27	$4.27	$9.33
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.27 / $9.77	Professional		$3.80	$4.27	$9.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.27 / $4.27	Professional		$3.39	$4.27	$4.27