Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Facility		$2.00	$2.00	$2.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.00	Professional		$1.00	$1.00	$2.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.37 / $7.59	Professional		$3.55	$4.37	$7.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.85 / $23.99	Professional		$10.72	$15.85	$23.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $3.24 / $6.46	Facility		$2.04	$3.24	$6.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.95 / $22.91	Professional		$1.45	$1.95	$22.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.90 / $6.17	Professional		$3.31	$4.90	$6.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.37 / $8.71	Professional		$4.79	$5.37	$8.71
United Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.58 / $2.63	Professional		$1.45	$1.58	$2.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.46 / $6.46	Professional		$5.13	$6.46	$6.46