Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.51 / $0.51 / $1.77	Facility		$0.51	$0.51	$1.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.51 / $0.64 / $0.64	Professional		$0.51	$0.64	$0.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.13 / $19.13 / $23.91	Professional		$19.13	$19.13	$23.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $455.20 / $464.80	Professional		$150.00	$455.20	$464.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.38 / $0.54 / $1.00	Facility		$0.38	$0.54	$1.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.66 / $0.84	Professional		$0.54	$0.66	$0.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.38 / $0.54 / $0.90	Facility		$0.38	$0.54	$0.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.54 / $0.84	Professional		$0.38	$0.54	$0.84
United Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.66 / $0.70	Professional		$0.66	$0.66	$0.70
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.66 / $0.66	Facility		$0.66	$0.66	$0.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.66 / $0.66	Professional		$0.66	$0.66	$0.66