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 $34.17 / $34.60 / $43.25	Professional		$34.17	$34.60	$43.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $76.48 / $195.00	Professional		$74.20	$76.48	$195.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.17 / $38.83 / $38.83	Facility		$19.17	$38.83	$38.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.83 / $38.83 / $38.83	Professional		$38.83	$38.83	$38.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.83 / $38.83 / $38.83	Facility		$38.83	$38.83	$38.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.83 / $38.83 / $38.83	Professional		$38.83	$38.83	$38.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $25.10 / $25.10	Professional		$19.82	$25.10	$25.10