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 $23.95 / $37.86 / $47.33	Professional		$23.95	$37.86	$47.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $82.64 / $150.00	Professional		$80.20	$82.64	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.86 / $35.17 / $112.04	Facility		$25.86	$35.17	$112.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $21.93 / $55.46	Professional		$12.88	$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 $12.61 / $13.16 / $47.74	Professional		$12.61	$13.16	$47.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $25.10 / $25.10	Professional		$19.82	$25.10	$25.10