Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $5.75 / $87.10	Facility		$3.47	$5.75	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $5.89	Professional		$3.02	$3.02	$5.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.55 / $4.37	Professional		$3.55	$3.55	$4.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.72 / $11.75	Professional		$2.51	$3.72	$11.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $4.07 / $44.67	Facility		$1.00	$4.07	$44.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $3.55 / $5.62	Professional		$1.78	$3.55	$5.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.47 / $4.47	Professional		$3.31	$4.47	$4.47
United Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Facility		$5.13	$5.13	$5.13
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $3.55	Professional		$3.47	$3.47	$3.55
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $3.72 / $3.72	Facility		$3.72	$3.72	$3.72