Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.15 / $4.15 / $7.85	Facility		$4.15	$4.15	$7.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.15 / $8.15	Professional		$3.50	$4.15	$8.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $3.64 / $4.55	Professional		$3.64	$3.64	$4.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $6.34 / $11.62	Professional		$3.50	$6.34	$11.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $4.15 / $5.50	Facility		$3.57	$4.15	$5.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $5.36	Professional		$3.57	$3.57	$5.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $5.36 / $8.39	Facility		$4.13	$5.36	$8.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.29 / $5.36	Professional		$4.07	$4.29	$5.36
United Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.50 / $3.57	Professional		$3.50	$3.50	$3.57
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $3.57 / $3.57	Facility		$3.57	$3.57	$3.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $3.57	Professional		$3.57	$3.57	$3.57