Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $9.12 / $263.03	Facility		$4.79	$9.12	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $72.44 / $147.91	Professional		$3.98	$72.44	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.25 / $6.17	Professional		$4.90	$5.25	$6.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $7.94 / $13.49	Professional		$4.90	$7.94	$13.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $6.76 / $9.12	Facility		$2.09	$6.76	$9.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $8.91	Professional		$5.01	$5.01	$8.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.31 / $6.31	Professional		$6.03	$6.31	$6.31
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $5.13	Professional		$4.79	$4.79	$5.13
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $4.90 / $4.90	Facility		$4.90	$4.90	$4.90