Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Facility		$5.00	$5.00	$5.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $22.55 / $22.55	Facility		$22.55	$22.55	$22.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $22.55 / $23.23	Professional		$1.29	$22.55	$23.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $5.00 / $90.00	Facility		$0.59	$5.00	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $0.48 / $0.94	Professional		$0.48	$0.48	$0.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.48 / $0.48 / $1.03	Facility		$0.48	$0.48	$1.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $0.94 / $1.00	Professional		$0.48	$0.94	$1.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.40 / $0.40 / $0.40	Facility		$0.40	$0.40	$0.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.40 / $0.40	Professional		$0.32	$0.40	$0.40