Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.66 / $31.48 / $139.83	Facility		$3.66	$31.48	$139.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $4.00 / $9.80	Professional		$2.18	$4.00	$9.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $4.73 / $5.91	Professional		$4.73	$4.73	$5.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $2.18 / $8.93	Professional		$1.77	$2.18	$8.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.96 / $15.05 / $69.61	Facility		$2.96	$15.05	$69.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.55 / $5.95	Professional		$3.09	$4.55	$5.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.98 / $5.45 / $6.87	Facility		$1.98	$5.45	$6.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $5.22 / $6.87	Professional		$2.52	$5.22	$6.87
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $2.25	Professional		$2.18	$2.18	$2.25
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $4.55 / $4.55	Facility		$4.55	$4.55	$4.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $4.55 / $4.55	Professional		$4.55	$4.55	$4.55