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 $12.16 / $33.95 / $42.43	Professional		$12.16	$33.95	$42.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $92.17 / $94.98 / $150.00	Professional		$92.17	$94.98	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.16 / $35.17 / $112.04	Facility		$12.16	$35.17	$112.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $21.93 / $55.46	Professional		$11.34	$21.93	$55.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.41 / $43.89 / $84.98	Facility		$28.41	$43.89	$84.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $42.39 / $60.23	Professional		$28.54	$42.39	$60.23
United Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $13.16 / $40.52	Professional		$11.11	$13.16	$40.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $25.00 / $25.00	Professional		$19.75	$25.00	$25.00