Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $4.95 / $10.94	Facility		$4.95	$4.95	$10.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $3.96 / $4.95	Professional		$3.96	$3.96	$4.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $3.96 / $3.96	Professional		$3.96	$3.96	$3.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $13.17 / $150.00	Professional		$11.47	$13.17	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $4.95 / $5.09	Facility		$1.00	$4.95	$5.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $4.25	Professional		$4.13	$4.13	$4.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $4.30 / $5.48	Facility		$1.00	$4.30	$5.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $4.50	Professional		$4.50	$4.50	$4.50
United Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $4.25	Professional		$4.13	$4.13	$4.25
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $4.13 / $4.13	Facility		$4.13	$4.13	$4.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $4.13	Professional		$4.13	$4.13	$4.13