Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.90 / $5.50 / $52.18	Facility		$3.90	$5.50	$52.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $3.22 / $3.90	Professional		$2.62	$3.22	$3.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $2.67	Professional		$2.14	$2.14	$2.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $2.90 / $14.77	Professional		$1.71	$2.90	$14.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $2.02 / $3.90	Facility		$1.00	$2.02	$3.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $2.31 / $2.71	Professional		$1.30	$2.31	$2.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1.56 / $2.78	Facility		$0.99	$1.56	$2.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $1.63 / $2.78	Professional		$0.96	$1.63	$2.78
United Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $2.90 / $2.99	Professional		$2.90	$2.90	$2.99
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $2.31 / $2.31	Facility		$2.31	$2.31	$2.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.31 / $2.31	Professional		$2.31	$2.31	$2.31