Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $4.27 / $91.20	Facility		$2.04	$4.27	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $4.27	Professional		$2.00	$2.00	$4.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.57 / $2.57	Professional		$2.04	$2.57	$2.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $4.57 / $43.65	Professional		$2.04	$4.57	$43.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $3.72 / $53.70	Facility		$2.51	$3.72	$53.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $7.08	Professional		$2.63	$2.63	$7.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $3.09	Professional		$2.75	$2.75	$3.09
United Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Facility		$3.63	$3.63	$3.63
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.24	Professional		$2.04	$2.04	$2.24
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Facility		$2.04	$2.04	$2.04