Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $26.30 / $38.02	Facility		$10.00	$26.30	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $15.85	Professional		$8.91	$10.00	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.30 / $32.36	Professional		$19.50	$26.30	$32.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.78 / $70.79	Professional		$11.75	$17.78	$70.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $16.60 / $36.31	Facility		$13.80	$16.60	$36.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $9.77 / $33.11	Professional		$8.32	$9.77	$33.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Professional		$16.60	$16.60	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $30.20	Facility		$13.80	$13.80	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $9.12 / $31.62	Professional		$8.32	$9.12	$31.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $13.80	Professional		$10.96	$13.80	$13.80