Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.74 / $3.74 / $4.26	Facility		$3.74	$3.74	$4.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $3.72 / $4.92	Professional		$1.72	$3.72	$4.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.77 / $3.77 / $6.46	Facility		$3.77	$3.77	$6.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $6.28 / $8.44	Professional		$3.77	$6.28	$8.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $11.55 / $13.10	Professional		$5.87	$11.55	$13.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.99 / $6.82 / $80.00	Facility		$3.99	$6.82	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.96 / $8.00	Professional		$2.27	$2.96	$8.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.44 / $6.46 / $7.76	Facility		$6.44	$6.46	$7.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $7.53 / $12.32	Professional		$5.04	$7.53	$12.32
United Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.92 / $7.63	Professional		$2.25	$2.92	$7.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $5.28 / $5.28 / $5.28	Facility		$5.28	$5.28	$5.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.28 / $5.28	Professional		$4.17	$5.28	$5.28