Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.19 / $3.19 / $3.64	Facility		$3.19	$3.19	$3.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $3.17 / $4.20	Professional		$1.47	$3.17	$4.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.01 / $3.01 / $5.50	Facility		$3.01	$3.01	$5.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $5.63 / $7.03	Professional		$3.76	$5.63	$7.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $5.51 / $6.27	Professional		$4.76	$5.51	$6.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $5.81 / $80.00	Facility		$3.42	$5.81	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.52 / $6.84	Professional		$1.95	$2.52	$6.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.49 / $5.50 / $6.66	Facility		$5.49	$5.50	$6.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $6.43 / $10.50	Professional		$4.30	$6.43	$10.50
United Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.50 / $5.81	Professional		$1.95	$2.50	$5.81
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $4.50 / $4.50	Facility		$4.50	$4.50	$4.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $4.50 / $4.50	Professional		$3.56	$4.50	$4.50