Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $11.76 / $25.99	Facility		$11.76	$11.76	$25.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $10.73 / $11.76	Professional		$6.10	$10.73	$11.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.81 / $2.81	Professional		$2.25	$2.81	$2.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $30.96 / $36.31	Professional		$3.11	$30.96	$36.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $8.53 / $13.50	Facility		$2.54	$8.53	$13.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $9.80 / $10.09	Professional		$3.21	$9.80	$10.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $8.53 / $12.51	Facility		$2.14	$8.53	$12.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $3.81 / $9.24	Professional		$1.82	$3.81	$9.24
United Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $9.80 / $10.09	Professional		$9.80	$9.80	$10.09
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3.46 / $3.46 / $3.46	Facility		$3.46	$3.46	$3.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $3.46 / $3.46	Professional		$3.46	$3.46	$3.46