Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $17.14 / $68.88	Facility		$5.50	$17.14	$68.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $62.54	Professional		$6.83	$6.83	$62.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $6.22 / $6.61	Professional		$5.29	$6.22	$6.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $12.36 / $52.68	Professional		$6.83	$12.36	$52.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.77 / $12.20 / $27.89	Facility		$3.77	$12.20	$27.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $3.14 / $16.44	Professional		$3.14	$3.14	$16.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.77 / $8.63 / $20.67	Facility		$3.77	$8.63	$20.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $11.55 / $45.79	Professional		$3.77	$11.55	$45.79
United Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $7.03	Professional		$6.83	$6.83	$7.03
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3.14 / $3.14 / $3.14	Facility		$3.14	$3.14	$3.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $3.14 / $3.14	Professional		$3.14	$3.14	$3.14