Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.89 / $6.89 / $12.74	Facility		$6.89	$6.89	$12.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $6.89 / $1,975.68	Professional		$5.71	$6.89	$1,975.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $5.81 / $5.81	Facility		$5.81	$5.81	$5.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.34 / $7.50	Professional		$6.00	$6.34	$7.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $5.71 / $12.75	Professional		$4.86	$5.71	$12.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.79 / $6.89 / $8.24	Facility		$5.79	$6.89	$8.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $5.79 / $8.94	Professional		$5.79	$5.79	$8.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.80 / $8.96 / $12.85	Facility		$6.80	$8.96	$12.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.43 / $6.94 / $9.18	Professional		$4.43	$6.94	$9.18
United Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.71 / $5.88	Professional		$5.71	$5.71	$5.88
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $5.79 / $5.79 / $5.79	Facility		$5.79	$5.79	$5.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $5.79 / $5.79	Professional		$5.79	$5.79	$5.79