Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.04	Facility		$0.02	$0.03	$0.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.04 / $0.04	Professional		$0.04	$0.04	$0.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.69 / $24.81 / $31.01	Professional		$13.69	$24.81	$31.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.91 / $118.42 / $150.00	Professional		$114.91	$118.42	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.30 / $13.69 / $13.69	Facility		$13.30	$13.69	$13.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.69 / $13.69 / $13.69	Professional		$13.69	$13.69	$13.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $13.69 / $13.69	Facility		$13.69	$13.69	$13.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.69 / $13.69 / $13.69	Professional		$13.69	$13.69	$13.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $23.90 / $23.90	Professional		$18.88	$23.90	$23.90