Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $10.76 / $27.25	Facility		$9.86	$10.76	$27.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $12.33	Professional		$9.86	$9.86	$12.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $0.94 / $0.94	Professional		$0.75	$0.94	$0.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $17.77 / $20.84	Professional		$3.19	$17.77	$20.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $3.82 / $12.08	Facility		$1.00	$3.82	$12.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $10.27 / $10.58	Professional		$2.65	$10.27	$10.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $2.93 / $4.29	Facility		$1.00	$2.93	$4.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $3.19 / $5.86	Professional		$1.10	$3.19	$5.86
United Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $10.27 / $10.58	Professional		$10.27	$10.27	$10.58
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $6.56 / $6.56 / $6.56	Facility		$6.56	$6.56	$6.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $6.56 / $6.56	Professional		$6.56	$6.56	$6.56