Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.47 / $27.94 / $27.94	Facility		$8.47	$27.94	$27.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $8.47 / $27.94	Professional		$3.63	$8.47	$27.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $10.11 / $10.73	Professional		$8.59	$10.11	$10.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $6.57 / $68.89	Professional		$3.63	$6.57	$68.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $12.98 / $27.96	Facility		$1.00	$12.98	$27.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $5.61 / $11.57	Professional		$5.61	$5.61	$11.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.74 / $11.57 / $23.81	Facility		$6.74	$11.57	$23.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.74 / $10.15 / $27.96	Professional		$6.74	$10.15	$27.96
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.74	Professional		$3.63	$3.63	$3.74
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $5.61 / $5.61 / $5.61	Facility		$5.61	$5.61	$5.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $5.61 / $5.61	Professional		$5.61	$5.61	$5.61