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 $17.29 / $26.76 / $33.46	Professional		$17.29	$26.76	$33.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $94.56 / $97.45 / $150.00	Professional		$94.56	$97.45	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $19.64 / $31.63	Facility		$19.64	$19.64	$31.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $19.64 / $19.64	Professional		$19.64	$19.64	$19.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $19.64 / $19.64	Facility		$19.64	$19.64	$19.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $19.64 / $19.64	Professional		$19.64	$19.64	$19.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $24.30 / $24.30	Professional		$19.20	$24.30	$24.30