Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.62	Professional		$1.00	$1.00	$1.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $1.17 / $2.19	Facility		$1.17	$1.17	$2.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $2.24 / $2.82	Professional		$1.38	$2.24	$2.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $5.75 / $6.31	Professional		$1.86	$5.75	$6.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $2.19 / $79.43	Facility		$1.35	$2.19	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.91 / $1.20 / $3.31	Professional		$0.91	$1.20	$3.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.24 / $2.57	Professional		$2.14	$2.24	$2.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Facility		$2.19	$2.19	$2.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $3.31 / $3.31	Professional		$1.70	$3.31	$3.31
United Facility/Professional Facility Modifier Low / Median / High Price $0.58 / $1.00 / $1.38	Facility		$0.58	$1.00	$1.38
United Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $0.98 / $1.82	Professional		$0.83	$0.98	$1.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.86 / $1.86	Professional		$1.48	$1.86	$1.86