Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.23 / $21.64 / $21.64	Facility		$8.23	$21.64	$21.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $5.21 / $21.64	Professional		$4.69	$5.21	$21.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $6.70 / $7.13	Professional		$5.70	$6.70	$7.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $13.20 / $28.13	Professional		$4.69	$13.20	$28.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.44 / $6.70 / $21.64	Facility		$5.44	$6.70	$21.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $5.45 / $9.15	Professional		$5.45	$5.45	$9.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.53 / $10.68 / $16.61	Facility		$6.53	$10.68	$16.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $6.96 / $17.57	Professional		$6.53	$6.96	$17.57
United Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $4.83	Professional		$4.69	$4.69	$4.83
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $5.45 / $5.45	Facility		$5.45	$5.45	$5.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $5.45 / $5.45	Professional		$5.45	$5.45	$5.45