Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.04 / $7.04 / $17.19	Facility		$6.04	$7.04	$17.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $9.05 / $10.05	Professional		$7.04	$9.05	$10.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $5.86 / $6.23	Professional		$4.99	$5.86	$6.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $9.05 / $26.20	Professional		$5.62	$9.05	$26.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $7.04 / $14.62	Facility		$2.00	$7.04	$14.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $12.89	Professional		$4.00	$4.00	$12.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $6.74 / $13.60	Facility		$2.00	$6.74	$13.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $7.95 / $14.49	Professional		$2.00	$7.95	$14.49
United Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $9.32	Professional		$9.05	$9.05	$9.32
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Facility		$4.00	$4.00	$4.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00