Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.35 / $5.35 / $6.11	Facility		$5.35	$5.35	$6.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $5.33 / $7.06	Professional		$2.47	$5.33	$7.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.04 / $5.04 / $9.24	Facility		$5.04	$5.04	$9.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $9.24 / $12.19	Professional		$5.34	$9.24	$12.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $9.26 / $12.98	Professional		$8.40	$9.26	$12.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.68 / $9.76 / $80.00	Facility		$5.68	$9.76	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $4.23 / $10.97	Professional		$3.26	$4.23	$10.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $9.24 / $11.07	Facility		$9.19	$9.24	$11.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $9.97 / $17.64	Professional		$7.22	$9.97	$17.64
United Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $4.19 / $9.85	Professional		$3.23	$4.19	$9.85
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $7.56 / $7.56 / $7.56	Facility		$7.56	$7.56	$7.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $7.56 / $7.56	Professional		$5.97	$7.56	$7.56