Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $10.95 / $34.90	Professional		$5.97	$10.95	$34.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $15.00 / $19.05	Professional		$7.13	$15.00	$19.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.52 / $13.08	Professional		$1.22	$1.52	$13.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $11.56 / $16.86	Facility		$1.64	$11.56	$16.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.17 / $5.92 / $36.08	Professional		$3.17	$5.92	$36.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.34 / $1.57 / $3.07	Facility		$1.34	$1.57	$3.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $1.71 / $4.01	Professional		$1.34	$1.71	$4.01
United Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $5.92 / $10.17	Professional		$5.80	$5.92	$10.17
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.68 / $10.68	Facility		$10.68	$10.68	$10.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $10.68 / $10.68	Professional		$8.44	$10.68	$10.68