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 $6.13 / $33.95 / $42.43	Professional		$6.13	$33.95	$42.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $9.86 / $150.00	Professional		$9.57	$9.86	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $6.13 / $8.74	Facility		$6.13	$6.13	$8.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $6.13 / $6.13	Professional		$6.13	$6.13	$6.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $6.13 / $6.13	Facility		$6.13	$6.13	$6.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $6.13 / $6.13	Professional		$6.13	$6.13	$6.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $23.70 / $23.70	Professional		$18.72	$23.70	$23.70