Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.36 / $6.36 / $12.07	Facility		$6.36	$6.36	$12.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $5.46 / $6.36	Professional		$5.46	$5.46	$6.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $5.48 / $6.84	Professional		$5.48	$5.48	$6.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $9.58 / $14.76	Professional		$5.46	$9.58	$14.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.39 / $6.36 / $8.30	Facility		$5.39	$6.36	$8.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $5.93 / $6.98	Professional		$5.39	$5.93	$6.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.44 / $8.06 / $12.62	Facility		$6.44	$8.06	$12.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $6.47 / $8.05	Professional		$6.02	$6.47	$8.05
United Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $5.62 / $6.50	Professional		$5.46	$5.62	$6.50
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $5.39 / $5.39 / $5.39	Facility		$5.39	$5.39	$5.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $5.39 / $5.39	Professional		$5.39	$5.39	$5.39