Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $10.93 / $251.51	Facility		$9.02	$10.93	$251.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $9.02 / $180.92	Professional		$4.86	$9.02	$180.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $5.27 / $6.23	Professional		$4.99	$5.27	$6.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $13.63	Professional		$4.86	$4.86	$13.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.08 / $6.83 / $9.02	Facility		$2.08	$6.83	$9.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $4.97 / $8.65	Professional		$4.97	$4.97	$8.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.58 / $5.96 / $7.00	Facility		$5.58	$5.96	$7.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $5.96 / $10.11	Professional		$5.58	$5.96	$10.11
United Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $5.01	Professional		$4.86	$4.86	$5.01
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4.97 / $4.97 / $4.97	Facility		$4.97	$4.97	$4.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $4.97 / $4.97	Professional		$4.97	$4.97	$4.97