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 $4.12 / $4.12 / $4.12	Facility		$4.12	$4.12	$4.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $6.00 / $7.50	Professional		$4.12	$6.00	$7.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $7.44 / $10.62	Professional		$6.92	$7.44	$10.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $100.00 / $273.83	Facility		$5.00	$100.00	$273.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $3.96 / $4.41	Professional		$0.24	$3.96	$4.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Facility		$4.00	$4.00	$4.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.19 / $4.19	Professional		$4.00	$4.19	$4.19
United Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $2.75 / $4.41	Professional		$0.22	$2.75	$4.41
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3.10 / $3.10 / $3.10	Facility		$3.10	$3.10	$3.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.10 / $3.10	Professional		$2.45	$3.10	$3.10