Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.02 / $8.74 / $14.90	Facility		$7.02	$8.74	$14.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $8.25	Professional		$4.01	$4.01	$8.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.94 / $3.94 / $4.92	Professional		$3.94	$3.94	$4.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $7.28 / $11.62	Professional		$4.01	$7.28	$11.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $4.63 / $5.95	Facility		$4.01	$4.63	$5.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $5.87	Professional		$4.01	$4.01	$5.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $5.88 / $9.21	Facility		$4.46	$5.88	$9.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $4.80 / $8.52	Professional		$4.46	$4.80	$8.52
United Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $4.01 / $4.01	Facility		$4.01	$4.01	$4.01
United Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $4.13	Professional		$4.01	$4.01	$4.13
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $4.01 / $4.01	Facility		$4.01	$4.01	$4.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $4.01	Professional		$4.01	$4.01	$4.01