Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $13.80 / $21.38	Facility		$5.01	$13.80	$21.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $11.48	Professional		$3.98	$6.03	$11.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $14.45 / $18.20	Professional		$8.71	$14.45	$18.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $13.80 / $54.95	Professional		$7.24	$13.80	$54.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $9.33 / $19.95	Facility		$7.24	$9.33	$19.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $7.24 / $16.22	Professional		$4.37	$7.24	$16.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.71 / $9.33	Professional		$6.92	$8.71	$9.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Facility		$6.92	$6.92	$6.92
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $16.22	Facility		$7.24	$7.24	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.79 / $15.85	Professional		$4.37	$4.79	$15.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.24 / $7.24	Professional		$5.75	$7.24	$7.24