Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.39 / $9.08 / $198.24	Facility		$8.39	$9.08	$198.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $8.39 / $19.28	Professional		$4.78	$8.39	$19.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.15 / $6.38	Professional		$5.09	$5.15	$6.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $8.00 / $22.76	Professional		$4.78	$8.00	$22.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.34 / $6.58 / $9.00	Facility		$5.34	$6.58	$9.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $9.00	Professional		$5.13	$5.13	$9.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.08 / $6.12 / $7.72	Facility		$5.08	$6.12	$7.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $6.12 / $12.29	Professional		$5.08	$6.12	$12.29
United Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $4.92	Professional		$4.78	$4.78	$4.92
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Facility		$5.13	$5.13	$5.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Professional		$5.13	$5.13	$5.13