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 $25.49 / $45.04 / $56.30	Professional		$25.49	$45.04	$56.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $186.26 / $226.50	Professional		$150.00	$186.26	$226.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $25.49 / $25.49	Facility		$21.53	$25.49	$25.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $25.49 / $25.49	Professional		$25.49	$25.49	$25.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.49 / $25.49 / $25.49	Facility		$25.49	$25.49	$25.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $25.49 / $25.49	Professional		$25.49	$25.49	$25.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $24.60 / $24.60	Professional		$19.43	$24.60	$24.60