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 $12.43 / $43.74 / $54.67	Professional		$12.43	$43.74	$54.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.71 / $117.18 / $150.00	Professional		$113.71	$117.18	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $12.43 / $21.18	Facility		$12.43	$12.43	$21.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $12.43 / $12.43	Professional		$12.43	$12.43	$12.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $12.43 / $12.43	Facility		$12.43	$12.43	$12.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $12.43 / $12.43	Professional		$12.43	$12.43	$12.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $24.00 / $24.00	Professional		$18.96	$24.00	$24.00