Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.49 / $1.49 / $3.76	Facility		$1.49	$1.49	$3.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $1.36 / $1.49	Professional		$1.36	$1.36	$1.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.47 / $0.47	Professional		$0.38	$0.47	$0.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.74 / $3.15 / $150.00	Professional		$2.74	$3.15	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.49 / $2.29	Facility		$1.00	$1.49	$2.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $1.46	Professional		$1.42	$1.42	$1.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.98 / $2.52	Facility		$1.00	$1.98	$2.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.53 / $1.53 / $1.53	Professional		$1.53	$1.53	$1.53
United Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $1.46	Professional		$1.42	$1.42	$1.46
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $1.42 / $1.42	Facility		$1.42	$1.42	$1.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $1.42	Professional		$1.42	$1.42	$1.42