Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.56 / $5.56 / $18.68	Facility		$5.56	$5.56	$18.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $5.57 / $13.15	Professional		$5.56	$5.57	$13.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $5.44 / $6.80	Professional		$5.44	$5.44	$6.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $5.57 / $12.30	Professional		$3.92	$5.57	$12.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.31 / $5.56 / $8.21	Facility		$5.31	$5.56	$8.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $5.31 / $7.96	Professional		$5.31	$5.31	$7.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.10 / $7.97 / $10.90	Facility		$6.10	$7.97	$10.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.38 / $6.37 / $10.67	Professional		$5.38	$6.37	$10.67
United Facility/Professional Facility Modifier Low / Median / High Price $5.57 / $5.57 / $5.57	Facility		$5.57	$5.57	$5.57
United Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $5.57 / $5.74	Professional		$5.57	$5.57	$5.74
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $5.31 / $5.31 / $5.31	Facility		$5.31	$5.31	$5.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $5.31 / $5.31	Professional		$5.31	$5.31	$5.31