Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $11.22 / $18.20	Facility		$3.98	$11.22	$18.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.01 / $10.47	Professional		$3.02	$5.01	$10.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.96 / $13.80	Professional		$7.08	$10.96	$13.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $10.72 / $35.48	Professional		$5.89	$10.72	$35.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $7.08 / $15.14	Facility		$5.89	$7.08	$15.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $5.89 / $12.88	Professional		$3.55	$5.89	$12.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.59 / $7.59	Professional		$5.25	$7.59	$7.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Facility		$5.25	$5.25	$5.25
United Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $5.89 / $12.88	Facility		$5.89	$5.89	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.55 / $12.88	Professional		$3.55	$3.55	$12.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $5.89 / $5.89	Professional		$4.68	$5.89	$5.89