Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $1.31 / $1.31	Professional		$1.31	$1.31	$1.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $4.99 / $11.77	Professional		$3.67	$4.99	$11.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $11.38 / $150.00	Professional		$10.69	$11.38	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.31 / $2.94 / $14.15	Facility		$1.31	$2.94	$14.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $11.77 / $11.77	Professional		$3.67	$11.77	$11.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.77 / $11.77 / $11.77	Facility		$11.77	$11.77	$11.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $11.77 / $11.77	Professional		$3.67	$11.77	$11.77
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $8.86 / $8.86	Facility		$8.86	$8.86	$8.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $8.86 / $8.86	Professional		$7.00	$8.86	$8.86