Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $13.18 / $53.70	Facility		$5.01	$13.18	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $14.45 / $32.36	Professional		$3.89	$14.45	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.55 / $12.02	Professional		$7.24	$9.55	$12.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.71 / $26.92	Professional		$5.01	$8.71	$26.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $9.12 / $52.48	Facility		$5.01	$9.12	$52.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.41 / $13.18	Professional		$5.01	$7.41	$13.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.17 / $12.02	Professional		$6.03	$6.17	$12.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Facility		$6.17	$6.17	$6.17
United Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $10.96	Facility		$5.01	$5.01	$10.96
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.01 / $11.75	Professional		$4.37	$5.01	$11.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $5.01	Professional		$3.98	$5.01	$5.01