Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Facility		$3.98	$3.98	$3.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Professional		$3.98	$3.98	$3.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $10.23 / $12.59	Professional		$2.95	$10.23	$12.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $275.42	Professional		$151.36	$199.53	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.68 / $15.14	Facility		$4.07	$4.68	$15.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $11.48	Professional		$4.37	$4.37	$11.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $4.37	Professional		$4.37	$4.37	$4.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $11.48 / $11.48	Professional		$4.37	$11.48	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $2.69	Professional		$2.69	$2.69	$2.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63