Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.51 / $1.51	Professional		$1.51	$1.51	$1.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $0.21 / $0.40	Facility		$0.21	$0.21	$0.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.38 / $0.47	Professional		$0.24	$0.38	$0.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $2.29 / $2.51	Professional		$0.34	$2.29	$2.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $0.41 / $79.43	Facility		$0.25	$0.41	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.22 / $0.74	Professional		$0.16	$0.22	$0.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.39 / $0.87	Professional		$0.38	$0.39	$0.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.40 / $0.40 / $0.40	Facility		$0.40	$0.40	$0.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.59 / $0.59	Professional		$0.31	$0.59	$0.59
United Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.15 / $0.25	Facility		$0.12	$0.15	$0.25
United Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.17 / $0.32	Professional		$0.14	$0.17	$0.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.32 / $0.32	Professional		$0.25	$0.32	$0.32