Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $20.42 / $74.13	Facility		$6.03	$20.42	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.94 / $64.57	Professional		$5.75	$7.94	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $16.60 / $20.89	Professional		$10.47	$16.60	$20.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.49 / $67.61	Professional		$9.55	$15.49	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $11.22 / $33.88	Facility		$8.71	$11.22	$33.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.30 / $22.39	Professional		$8.71	$12.30	$22.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.47 / $11.22	Professional		$10.23	$10.47	$11.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $19.05	Facility		$8.71	$8.71	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $8.71 / $19.50	Professional		$7.59	$8.71	$19.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.71 / $8.71	Professional		$6.76	$8.71	$8.71