Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.37 / $7.37 / $152.80	Facility		$7.37	$7.37	$152.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $5.01 / $26.00	Professional		$3.84	$5.01	$26.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $65.00	Facility		$50.00	$50.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.35 / $6.69 / $90.08	Professional		$5.35	$6.69	$90.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $7.93 / $12.72	Professional		$5.92	$7.93	$12.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.94 / $8.65 / $100.00	Facility		$3.94	$8.65	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.71 / $5.92 / $15.95	Professional		$4.71	$5.92	$15.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.93 / $8.27 / $12.16	Facility		$6.93	$8.27	$12.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $9.21 / $12.97	Professional		$6.52	$9.21	$12.97
United Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $5.71 / $9.28	Professional		$4.32	$5.71	$9.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $8.30 / $9.80	Professional		$8.30	$8.30	$9.80