Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $15.85 / $15.85	Facility		$1.82	$15.85	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $15.85 / $22.39	Professional		$1.00	$15.85	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $1.17 / $1.17	Professional		$0.93	$1.17	$1.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.41 / $23.44	Professional		$6.17	$7.41	$23.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $10.00 / $15.85	Facility		$5.01	$10.00	$15.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.76 / $13.49	Professional		$6.31	$7.76	$13.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.22 / $11.22	Professional		$9.77	$11.22	$11.22
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $0.91 / $0.91 / $1.00	Professional		$0.91	$0.91	$1.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Facility		$6.17	$6.17	$6.17