Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.01 / $15.38 / $27.64	Facility		$7.01	$15.38	$27.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $5.01 / $17.59	Professional		$4.29	$5.01	$17.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $7.80 / $8.44	Professional		$6.75	$7.80	$8.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $11.38 / $24.22	Professional		$6.50	$11.38	$24.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $9.22 / $16.89	Facility		$6.50	$9.22	$16.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $9.09 / $16.97	Professional		$6.50	$9.09	$16.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.81 / $9.10 / $16.89	Facility		$7.81	$9.10	$16.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.81 / $10.68 / $16.97	Professional		$7.81	$10.68	$16.97
United Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $6.50 / $14.89	Professional		$6.50	$6.50	$14.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $6.50 / $6.50	Professional		$5.14	$6.50	$6.50