Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $2.15	Professional		$1.69	$1.69	$2.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $6.01 / $7.12	Professional		$1.89	$6.01	$7.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $9.06 / $150.00	Professional		$8.51	$9.06	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $3.71 / $6.91	Facility		$1.69	$3.71	$6.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $6.01 / $6.01	Professional		$5.22	$6.01	$6.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.74 / $6.01 / $6.01	Facility		$5.74	$6.01	$6.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $5.59 / $6.01	Professional		$5.22	$5.59	$6.01
United Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $3.11	Professional		$3.11	$3.11	$3.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Facility		$5.00	$5.00	$5.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $5.00 / $5.00	Professional		$3.95	$5.00	$5.00