Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.29 / $13.78 / $18.14	Facility		$6.29	$13.78	$18.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.85 / $4.49 / $7.37	Professional		$3.85	$4.49	$7.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $7.00 / $8.44	Professional		$6.75	$7.00	$8.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $10.19 / $26.92	Professional		$5.83	$10.19	$26.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.83 / $7.69 / $15.16	Facility		$5.83	$7.69	$15.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $6.05 / $13.41	Professional		$5.83	$6.05	$13.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.23 / $8.16 / $15.16	Facility		$5.23	$8.16	$15.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.19 / $12.51	Professional		$6.46	$8.19	$12.51
United Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $5.83 / $12.01	Professional		$5.83	$5.83	$12.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.61 / $5.83 / $5.83	Professional		$4.61	$5.83	$5.83