Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.08 / $2.08 / $2.08	Facility		$2.08	$2.08	$2.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.08 / $2.10	Professional		$2.08	$2.08	$2.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $4.50 / $5.63	Facility		$4.50	$4.50	$5.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.47 / $2.47	Professional		$0.38	$0.47	$2.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $3.55 / $9.52	Facility		$2.57	$3.55	$9.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $3.23 / $26.50	Professional		$1.62	$3.23	$26.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $5.12 / $6.92	Facility		$4.09	$5.12	$6.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $4.88 / $6.28	Professional		$3.66	$4.88	$6.28
United Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.94 / $3.25	Professional		$1.20	$1.94	$3.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Professional		$0.09	$0.09	$0.09