Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.33 / $11.70 / $21.39	Facility		$5.33	$11.70	$21.39
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 $4.95 / $8.66 / $25.89	Professional		$4.95	$8.66	$25.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $7.02 / $12.87	Facility		$4.95	$7.02	$12.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $4.95 / $12.92	Professional		$2.97	$4.95	$12.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.95 / $6.93 / $12.87	Facility		$5.95	$6.93	$12.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $8.03 / $12.92	Professional		$5.95	$8.03	$12.92
United Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $4.21 / $11.39	Professional		$2.97	$4.21	$11.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $4.95 / $4.95	Professional		$3.91	$4.95	$4.95