Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.87 / $9.98 / $10.28	Facility		$5.87	$9.98	$10.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $6.53 / $27.38	Professional		$3.52	$6.53	$27.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.58 / $5.39 / $5.72	Professional		$4.58	$5.39	$5.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $4.51 / $37.54	Professional		$3.52	$4.51	$37.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $5.39 / $10.95	Facility		$3.00	$5.39	$10.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $8.80	Professional		$3.89	$3.89	$8.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.67 / $8.55 / $13.29	Facility		$4.67	$8.55	$13.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $6.83 / $26.78	Professional		$4.67	$6.83	$26.78
United Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.52 / $3.63	Professional		$3.52	$3.52	$3.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Facility		$3.89	$3.89	$3.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Professional		$3.89	$3.89	$3.89