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 $15.61 / $35.90 / $44.88	Professional		$15.61	$35.90	$44.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.29 / $127.05 / $154.50	Professional		$123.29	$127.05	$154.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $15.61 / $19.12	Facility		$15.61	$15.61	$19.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $15.61	Professional		$15.61	$15.61	$15.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $15.61 / $15.61	Facility		$15.61	$15.61	$15.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $15.61	Professional		$15.61	$15.61	$15.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $24.10 / $24.10	Professional		$19.04	$24.10	$24.10