Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.76 / $3.76 / $10.59	Facility		$3.76	$3.76	$10.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $3.01 / $3.76	Professional		$3.01	$3.01	$3.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $3.19 / $3.98	Professional		$3.19	$3.19	$3.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $39.64 / $150.00	Professional		$19.09	$39.64	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $3.76 / $4.18	Facility		$1.00	$3.76	$4.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $4.18	Professional		$3.13	$3.13	$4.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $4.05 / $4.18	Facility		$1.00	$4.05	$4.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.05 / $4.74	Professional		$3.55	$4.05	$4.74
United Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $3.22	Professional		$3.13	$3.13	$3.22
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $3.13 / $3.13	Facility		$3.13	$3.13	$3.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $3.13	Professional		$3.13	$3.13	$3.13