Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.67 / $2.67 / $5.90	Facility		$2.67	$2.67	$5.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $2.67	Professional		$2.14	$2.14	$2.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.27 / $2.27	Professional		$2.27	$2.27	$2.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $10.81 / $150.00	Professional		$9.41	$10.81	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $2.18 / $2.67	Facility		$1.00	$2.18	$2.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $2.23 / $2.29	Professional		$2.23	$2.23	$2.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.59 / $3.47 / $5.05	Facility		$2.59	$3.47	$5.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $2.59 / $2.59	Professional		$2.59	$2.59	$2.59
United Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $2.23 / $2.29	Professional		$2.23	$2.23	$2.29
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2.23 / $2.23 / $2.23	Facility		$2.23	$2.23	$2.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $2.23 / $2.23	Professional		$2.23	$2.23	$2.23