Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.15 / $20.47 / $133.58	Facility		$2.15	$20.47	$133.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $2.37 / $8.00	Professional		$0.59	$2.37	$8.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.53 / $0.60 / $0.66	Professional		$0.53	$0.60	$0.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.54 / $13.83	Professional		$0.30	$0.54	$13.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $17.70 / $48.66	Facility		$0.50	$17.70	$48.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.35 / $1.00	Professional		$0.35	$0.35	$1.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $0.98 / $1.50	Facility		$0.42	$0.98	$1.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.71 / $1.12	Professional		$0.38	$0.71	$1.12
United Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.30 / $0.31	Professional		$0.30	$0.30	$0.31
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $0.35 / $0.35	Facility		$0.35	$0.35	$0.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.35 / $0.35	Professional		$0.35	$0.35	$0.35