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 $19.82 / $33.95 / $42.43	Professional		$19.82	$33.95	$42.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.83 / $67.84 / $150.00	Professional		$65.83	$67.84	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $19.82 / $19.98	Facility		$19.82	$19.82	$19.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $19.82 / $19.82	Professional		$19.82	$19.82	$19.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $19.82 / $19.82	Facility		$19.82	$19.82	$19.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $19.82 / $19.82	Professional		$19.82	$19.82	$19.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $24.30 / $24.30	Professional		$19.20	$24.30	$24.30