Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $3.72 / $3.72	Facility		$3.72	$3.72	$3.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $3.72 / $3.72	Professional		$1.12	$3.72	$3.72
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 $2.82 / $9.12 / $151.36	Professional		$2.82	$9.12	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $79.43 / $100.00	Facility		$2.40	$79.43	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $2.40 / $9.77	Professional		$0.72	$2.40	$9.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $9.77	Professional		$2.40	$2.40	$9.77
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $3.47	Professional		$3.47	$3.47	$3.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Professional		$8.13	$8.13	$8.13