Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.41 / $7.83 / $41.70	Facility		$3.41	$7.83	$41.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $3.79 / $8.99	Professional		$2.25	$3.79	$8.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $3.64 / $4.55	Professional		$3.64	$3.64	$4.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $4.09 / $28.45	Professional		$2.25	$4.09	$28.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.71 / $4.29 / $8.00	Facility		$2.71	$4.29	$8.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $5.75	Professional		$2.25	$2.25	$5.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.71 / $3.10 / $5.62	Facility		$2.71	$3.10	$5.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $4.29 / $8.67	Professional		$2.71	$4.29	$8.67
United Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $2.33	Professional		$2.25	$2.25	$2.33
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $2.25 / $2.25	Facility		$2.25	$2.25	$2.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $2.25	Professional		$2.25	$2.25	$2.25