Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.32 / $0.71	Facility		$0.32	$0.32	$0.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.32	Professional		$0.26	$0.26	$0.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.56 / $0.56	Professional		$0.56	$0.56	$0.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $3.11 / $150.00	Professional		$2.71	$3.11	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.64 / $1.87	Facility		$0.32	$0.64	$1.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $0.28	Professional		$0.27	$0.27	$0.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.64 / $0.90 / $1.00	Facility		$0.64	$0.90	$1.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.64 / $0.64 / $0.64	Professional		$0.64	$0.64	$0.64
United Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $0.28	Professional		$0.27	$0.27	$0.28
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.47 / $0.47 / $0.47	Facility		$0.47	$0.47	$0.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $0.47 / $0.47	Professional		$0.47	$0.47	$0.47