Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.45 / $9.31 / $26.21	Facility		$7.45	$9.31	$26.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $7.73 / $9.31	Professional		$7.45	$7.73	$9.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $2.10	Professional		$2.10	$2.10	$2.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.81 / $9.61 / $11.28	Professional		$7.81	$9.61	$11.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.39 / $21.39 / $90.00	Facility		$2.39	$21.39	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $9.94 / $11.73	Professional		$3.98	$9.94	$11.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1.00 / $2.39	Facility		$0.90	$1.00	$2.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $2.39 / $2.39	Professional		$2.39	$2.39	$2.39
United Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $4.69 / $11.73	Facility		$0.12	$4.69	$11.73
United Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $9.77 / $12.71	Professional		$3.91	$9.77	$12.71
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1.83 / $1.83 / $1.83	Facility		$1.83	$1.83	$1.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.83 / $1.83	Professional		$1.45	$1.83	$1.83