Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $4.61 / $15.76	Facility		$4.61	$4.61	$15.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.61 / $3,158.94	Professional		$4.24	$4.61	$3,158.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $4.20 / $5.25	Professional		$4.20	$4.20	$5.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $4.24 / $8.89	Professional		$3.57	$4.24	$8.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $4.49 / $5.69	Facility		$3.00	$4.49	$5.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $4.24 / $6.18	Professional		$3.60	$4.24	$6.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $6.18 / $8.32	Facility		$3.89	$6.18	$8.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.29 / $4.70 / $6.85	Professional		$3.29	$4.70	$6.85
United Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $4.24 / $4.24	Facility		$4.24	$4.24	$4.24
United Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.24 / $4.66	Professional		$4.24	$4.24	$4.66
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $4.24 / $4.24	Facility		$4.24	$4.24	$4.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.24 / $4.24	Professional		$4.24	$4.24	$4.24