Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $3.88 / $3.88	Facility		$3.88	$3.88	$3.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.73 / $2.11	Professional		$0.72	$0.73	$2.11
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 / $9.14 / $150.00	Professional		$2.82	$9.14	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.39 / $100.00 / $100.00	Facility		$2.39	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $2.39 / $9.73	Professional		$0.72	$2.39	$9.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.39 / $2.39 / $2.39	Facility		$2.39	$2.39	$2.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.39 / $9.73	Professional		$2.09	$2.39	$9.73
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $8.10 / $8.10 / $8.10	Facility		$8.10	$8.10	$8.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $8.10 / $8.10	Professional		$8.10	$8.10	$8.10