Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $11.22 / $63.10	Facility		$3.02	$11.22	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $30.90	Professional		$3.02	$3.98	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $9.55 / $12.02	Professional		$5.75	$9.55	$12.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $11.75 / $30.20	Professional		$4.79	$11.75	$30.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $6.17 / $16.22	Facility		$4.79	$6.17	$16.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $5.75 / $12.30	Professional		$2.82	$5.75	$12.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.17 / $6.17	Professional		$5.75	$6.17	$6.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Facility		$5.75	$5.75	$5.75
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $10.47	Facility		$4.79	$4.79	$10.47
United Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.98 / $11.48	Professional		$2.82	$3.98	$11.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $4.79 / $4.79	Professional		$3.72	$4.79	$4.79