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 $19.13 / $51.57 / $64.45	Professional		$19.13	$51.57	$64.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $92.17 / $94.98 / $217.50	Professional		$92.17	$94.98	$217.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.13 / $19.13 / $21.53	Facility		$19.13	$19.13	$21.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.13 / $19.13 / $19.13	Professional		$19.13	$19.13	$19.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.13 / $19.13 / $19.13	Facility		$19.13	$19.13	$19.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.13 / $19.13 / $19.13	Professional		$19.13	$19.13	$19.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $24.40 / $24.40	Professional		$19.28	$24.40	$24.40