Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $3.39 / $6.03	Facility		$2.75	$3.39	$6.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.88 / $4.68	Professional		$2.00	$2.88	$4.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.39 / $3.55	Professional		$2.82	$3.39	$3.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $41.69 / $81.28	Professional		$3.55	$41.69	$81.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $4.17 / $45.71	Facility		$3.39	$4.17	$45.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $42.66	Professional		$3.47	$3.47	$42.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Professional		$3.89	$3.89	$3.89
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Facility		$5.75	$5.75	$5.75
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $3.47	Professional		$2.75	$2.75	$3.47
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $3.55 / $3.55	Facility		$3.55	$3.55	$3.55