Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $4.75 / $13.58	Facility		$4.75	$4.75	$13.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $8.41 / $9.33	Professional		$4.75	$8.41	$9.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $3.92 / $4.88	Professional		$3.90	$3.92	$4.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $8.41 / $15.22	Professional		$1.28	$8.41	$15.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $4.59 / $5.03	Facility		$1.00	$4.59	$5.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $3.86 / $5.03	Professional		$1.68	$3.86	$5.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.94 / $4.63 / $5.03	Facility		$0.94	$4.63	$5.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $4.41 / $5.80	Professional		$0.96	$4.41	$5.80
United Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $8.41 / $8.58	Professional		$7.15	$8.41	$8.58
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3.86 / $3.86 / $3.86	Facility		$3.86	$3.86	$3.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $3.86 / $3.86	Professional		$3.86	$3.86	$3.86