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 $7.95 / $34.60 / $43.25	Professional		$7.95	$34.60	$43.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $27.13 / $150.00	Professional		$26.33	$27.13	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.95 / $7.95 / $17.04	Facility		$7.95	$7.95	$17.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $7.95 / $7.95	Professional		$7.95	$7.95	$7.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.95 / $7.95 / $7.95	Facility		$7.95	$7.95	$7.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $7.95 / $7.95	Professional		$7.95	$7.95	$7.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $23.80 / $23.80	Professional		$18.80	$23.80	$23.80