Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.36 / $14.74 / $136.62	Facility		$1.36	$14.74	$136.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $1.70 / $4.92	Professional		$0.76	$1.70	$4.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.79 / $0.84	Professional		$0.68	$0.79	$0.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $1.05 / $2.99	Professional		$0.76	$1.05	$2.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.95 / $23.08 / $59.07	Facility		$0.95	$23.08	$59.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $0.95 / $1.39	Professional		$0.84	$0.95	$1.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.79 / $1.00 / $1.39	Facility		$0.79	$1.00	$1.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.74 / $0.93 / $1.99	Professional		$0.74	$0.93	$1.99
United Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.78 / $0.90	Professional		$0.76	$0.78	$0.90
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $0.90 / $0.90	Facility		$0.90	$0.90	$0.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $0.90 / $0.90	Professional		$0.90	$0.90	$0.90