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 / $2.00 / $2.00	Professional		$1.00	$2.00	$2.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $5.62	Facility		$4.47	$4.47	$5.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.47 / $0.47	Professional		$0.38	$0.47	$0.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $3.55 / $5.75	Facility		$2.09	$3.55	$5.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.78 / $24.55	Professional		$1.62	$1.78	$24.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.90 / $4.90	Professional		$4.37	$4.90	$4.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $7.24	Professional		$6.03	$6.03	$7.24
United Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.78 / $3.55	Professional		$1.20	$1.78	$3.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18