Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.79 / $1.79 / $1.79	Facility		$1.79	$1.79	$1.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $0.41 / $1.74	Professional		$0.40	$0.41	$1.74
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 $2.80 / $3.22 / $150.00	Professional		$2.80	$3.22	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.21 / $100.00 / $100.00	Facility		$1.21	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $1.11 / $2.40	Professional		$0.40	$1.11	$2.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.21 / $1.21 / $1.21	Facility		$1.21	$1.21	$1.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.21 / $2.40	Professional		$1.05	$1.21	$2.40
United Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.11 / $1.11	Professional		$1.11	$1.11	$1.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Facility		$2.00	$2.00	$2.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00