Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.69 / $11.69 / $25.84	Facility		$11.69	$11.69	$25.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $10.45 / $11.69	Professional		$9.35	$10.45	$11.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.75 / $3.75	Professional		$3.00	$3.75	$3.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $7.27 / $7.96	Professional		$1.99	$7.27	$7.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $10.48 / $16.57	Facility		$3.22	$10.48	$16.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.22 / $9.74 / $10.71	Professional		$4.22	$9.74	$10.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $10.48 / $15.35	Facility		$1.99	$10.48	$15.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $4.53 / $11.25	Professional		$2.23	$4.53	$11.25
United Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $9.74 / $10.71	Professional		$9.74	$9.74	$10.71
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Facility		$8.00	$8.00	$8.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Professional		$8.00	$8.00	$8.00