Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $5.01 / $5.01	Facility		$3.02	$5.01	$5.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.02 / $5.01	Professional		$2.00	$3.02	$5.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $6.76	Facility		$3.63	$3.63	$6.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $7.08 / $8.91	Professional		$4.07	$7.08	$8.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $9.55 / $10.47	Professional		$5.75	$9.55	$10.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $6.61 / $79.43	Facility		$4.07	$6.61	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.63 / $10.00	Professional		$2.51	$3.63	$10.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.92 / $7.76	Professional		$6.61	$6.92	$7.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Facility		$6.76	$6.76	$6.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $10.00 / $10.00	Professional		$5.13	$10.00	$10.00
United Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $2.51 / $4.27	Facility		$1.74	$2.51	$4.27
United Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.02 / $5.50	Professional		$2.34	$3.02	$5.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.37 / $5.37	Professional		$4.27	$5.37	$5.37