Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $2.00 / $2.00	Facility		$1.00	$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 Facility Modifier Low / Median / High Price $1.62 / $1.62 / $3.09	Facility		$1.62	$1.62	$3.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $3.02 / $3.72	Professional		$1.74	$3.02	$3.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.80 / $4.37	Professional		$2.45	$3.80	$4.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $3.02 / $79.43	Facility		$1.86	$3.02	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.66 / $4.57	Professional		$1.15	$1.66	$4.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.09 / $3.55	Professional		$3.02	$3.09	$3.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $3.09 / $3.09	Facility		$3.09	$3.09	$3.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $4.57 / $4.57	Professional		$2.34	$4.57	$4.57
United Facility/Professional Facility Modifier Low / Median / High Price $0.78 / $1.15 / $1.95	Facility		$0.78	$1.15	$1.95
United Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.35 / $2.51	Professional		$1.07	$1.35	$2.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.45 / $2.45	Professional		$1.95	$2.45	$2.45