Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.53 / $7.80 / $2,110.98	Facility		$4.53	$7.80	$2,110.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $7.80 / $1,026.00	Professional		$2.93	$7.80	$1,026.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $3.30 / $3.70	Professional		$2.96	$3.30	$3.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $5.67 / $16.96	Professional		$2.93	$5.67	$16.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $3.59 / $7.80	Facility		$3.00	$3.59	$7.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.34 / $5.42	Professional		$3.00	$3.34	$5.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.50 / $4.49 / $6.15	Facility		$3.50	$4.49	$6.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.00 / $8.31	Professional		$3.50	$4.00	$8.31
United Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $3.22 / $3.49	Professional		$2.93	$3.22	$3.49
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Facility		$3.00	$3.00	$3.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00