Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $9.63 / $13.46	Facility		$4.95	$9.63	$13.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.27 / $3.81 / $13.37	Professional		$3.27	$3.81	$13.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.94 / $6.56	Professional		$5.25	$5.94	$6.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $8.96 / $33.61	Professional		$5.45	$8.96	$33.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $6.68 / $90.00	Facility		$4.95	$6.68	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $4.09 / $12.87	Professional		$2.97	$4.09	$12.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.95 / $7.02 / $12.87	Facility		$5.95	$7.02	$12.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $7.51 / $12.87	Professional		$5.94	$7.51	$12.87
United Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $4.95 / $4.95	Facility		$4.95	$4.95	$4.95
United Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $3.67 / $11.99	Professional		$2.97	$3.67	$11.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $4.95 / $4.95	Professional		$3.91	$4.95	$4.95