Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.47 / $11.40 / $12.34	Facility		$8.47	$11.40	$12.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.99 / $11.40	Professional		$4.50	$4.99	$11.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.34 / $7.48 / $7.92	Professional		$6.34	$7.48	$7.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $6.35 / $22.76	Professional		$4.50	$6.35	$22.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $9.48 / $13.62	Facility		$6.73	$9.48	$13.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $5.61 / $13.62	Professional		$5.61	$5.61	$13.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $7.67 / $13.77	Facility		$6.73	$7.67	$13.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $10.09 / $26.43	Professional		$6.73	$10.09	$26.43
United Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $4.63	Professional		$4.50	$4.50	$4.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $5.61 / $5.61 / $5.61	Facility		$5.61	$5.61	$5.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $5.61 / $5.61	Professional		$5.61	$5.61	$5.61