Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.10 / $3.10 / $6.85	Facility		$3.10	$3.10	$6.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $2.48 / $3.10	Professional		$2.48	$2.48	$3.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $2.52 / $3.14	Professional		$2.50	$2.52	$3.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $6.81 / $150.00	Professional		$5.93	$6.81	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $2.67 / $3.10	Facility		$1.00	$2.67	$3.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $2.59 / $2.67	Professional		$2.59	$2.59	$2.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.87 / $4.26 / $6.24	Facility		$2.87	$4.26	$6.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $2.87 / $2.87	Professional		$2.87	$2.87	$2.87
United Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $2.59 / $2.85	Professional		$2.59	$2.59	$2.85
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2.59 / $2.59 / $2.59	Facility		$2.59	$2.59	$2.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $2.59 / $2.59	Professional		$2.59	$2.59	$2.59