Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.34 / $5.34 / $6.09	Facility		$5.34	$5.34	$6.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.46 / $5.32 / $7.04	Professional		$2.46	$5.32	$7.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.03 / $5.03 / $9.22	Facility		$5.03	$5.03	$9.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $9.22 / $12.19	Professional		$5.33	$9.22	$12.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $10.24 / $11.61	Professional		$7.97	$10.24	$11.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $9.74 / $80.00	Facility		$5.73	$9.74	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $4.22 / $11.44	Professional		$3.26	$4.22	$11.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.18 / $9.22 / $11.04	Facility		$9.18	$9.22	$11.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $9.97 / $17.61	Professional		$7.21	$9.97	$17.61
United Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $4.18 / $10.89	Professional		$3.23	$4.18	$10.89
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $7.54 / $7.54 / $7.54	Facility		$7.54	$7.54	$7.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $7.54 / $7.54	Professional		$5.96	$7.54	$7.54