Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.13 / $11.75	Professional		$3.63	$5.13	$11.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $11.22 / $151.36	Professional		$10.72	$11.22	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.70 / $14.13	Facility		$1.32	$1.70	$14.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.63 / $11.75	Professional		$3.55	$3.63	$11.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Professional		$11.75	$11.75	$11.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $11.75	Professional		$3.63	$3.63	$11.75
United Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $3.31	Professional		$3.31	$3.31	$3.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Professional		$8.91	$8.91	$8.91