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 $9.77 / $39.82 / $49.78	Professional		$9.77	$39.82	$49.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $18.50 / $150.00	Professional		$17.95	$18.50	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.74 / $9.77 / $9.77	Facility		$8.74	$9.77	$9.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Facility		$9.77	$9.77	$9.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $23.90 / $23.90	Professional		$18.88	$23.90	$23.90