Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $6.92 / $10.96	Facility		$6.92	$6.92	$10.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.96 / $15.14	Professional		$6.92	$10.96	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $23.44	Professional		$18.62	$18.62	$23.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.05 / $29.51	Professional		$16.22	$19.05	$29.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $20.42 / $89.13	Facility		$13.80	$20.42	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $17.78 / $28.18	Professional		$8.13	$17.78	$28.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.89 / $22.39	Professional		$17.78	$20.89	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $13.49 / $28.18	Professional		$8.13	$13.49	$28.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22