Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $11.63 / $1,051.90	Facility		$4.91	$11.63	$1,051.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.29 / $11.55	Professional		$2.82	$3.29	$11.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $7.83 / $9.78	Professional		$4.96	$7.83	$9.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $7.47 / $34.53	Professional		$4.26	$7.47	$34.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $6.75 / $13.39	Facility		$4.26	$6.75	$13.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $5.96 / $11.14	Professional		$4.26	$5.96	$11.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.23 / $8.72 / $13.39	Facility		$5.23	$8.72	$13.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $8.72 / $12.22	Professional		$5.13	$8.72	$12.22
United Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.26 / $9.78	Professional		$4.26	$4.26	$9.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $4.26 / $4.26	Professional		$3.37	$4.26	$4.26