Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $28.84 / $95.50	Facility		$5.89	$28.84	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $38.90	Professional		$3.98	$5.01	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.96 / $13.80	Professional		$7.24	$10.96	$13.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $14.45 / $41.69	Professional		$5.89	$14.45	$41.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $9.33 / $28.18	Facility		$5.89	$9.33	$28.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $7.08 / $15.49	Professional		$3.55	$7.08	$15.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.59 / $7.59	Professional		$7.24	$7.59	$7.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Facility		$7.24	$7.24	$7.24
United Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $5.89 / $12.88	Facility		$5.89	$5.89	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.90 / $13.80	Professional		$3.55	$4.90	$13.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $5.89 / $5.89	Professional		$4.68	$5.89	$5.89