Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.08 / $12.74 / $63.24	Facility		$5.08	$12.74	$63.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $3.63 / $12.74	Professional		$3.12	$3.63	$12.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $9.14 / $11.42	Professional		$5.66	$9.14	$11.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $8.26 / $29.60	Professional		$4.72	$8.26	$29.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.72 / $7.93 / $23.06	Facility		$4.72	$7.93	$23.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $4.86 / $12.32	Professional		$2.83	$4.86	$12.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.79 / $9.63 / $14.80	Facility		$5.79	$9.63	$14.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $9.63 / $12.32	Professional		$5.67	$9.63	$12.32
United Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $3.97 / $11.45	Professional		$2.83	$3.97	$11.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $4.72 / $4.72	Professional		$3.73	$4.72	$4.72