Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $52.48 / $87.10	Facility		$14.13	$52.48	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.14	Professional		$0.11	$0.11	$0.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.07 / $0.58	Professional		$0.04	$0.07	$0.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.06 / $1.00	Facility		$0.03	$0.06	$1.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.10	Professional		$0.03	$0.03	$0.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.07 / $0.07	Professional		$0.06	$0.07	$0.07
United Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $0.07 / $0.07	Facility		$0.07	$0.07	$0.07
United Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.13	Professional		$0.12	$0.12	$0.13
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.04 / $0.04	Facility		$0.04	$0.04	$0.04