Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $4.90 / $4.90	Facility		$4.90	$4.90	$4.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.73 / $4.90	Professional		$0.72	$0.73	$4.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.12 / $1.41	Professional		$1.12	$1.12	$1.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $12.68 / $150.00	Professional		$6.27	$12.68	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $100.00 / $100.00	Facility		$3.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $3.00 / $4.90	Professional		$0.72	$3.00	$4.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Facility		$3.00	$3.00	$3.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $3.00 / $3.48	Professional		$2.61	$3.00	$3.48
United Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.50 / $3.50	Professional		$3.50	$3.50	$3.50
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2.90 / $2.90 / $2.90	Facility		$2.90	$2.90	$2.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $2.90 / $2.90	Professional		$2.90	$2.90	$2.90